Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $750.00 / $1,019.70	Facility		$668.00	$750.00	$1,019.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.91 / $423.77 / $1,019.70	Professional		$378.91	$423.77	$1,019.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $860.57 / $4,934.60 / $10,630.62	Facility		$860.57	$4,934.60	$10,630.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $119,998.80 / $119,998.80	Professional		$337.48	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $419.80 / $4,638.64	Facility		$419.80	$419.80	$4,638.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.54 / $1,755.54 / $1,755.54	Professional		$1,755.54	$1,755.54	$1,755.54
United Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $482.15 / $851.06	Professional		$325.94	$482.15	$851.06