Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.05 / $959.05 / $1,700.00	Facility		$959.05	$959.05	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.63 / $959.05 / $1,087.63	Professional		$878.63	$959.05	$1,087.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,852.57 / $12,628.56 / $24,959.98	Facility		$2,852.57	$12,628.56	$24,959.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.46 / $986.46 / $986.46	Facility		$986.46	$986.46	$986.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,805.78 / $3,805.78 / $3,805.78	Professional		$3,805.78	$3,805.78	$3,805.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.82 / $1,170.35 / $1,811.05	Professional		$803.82	$1,170.35	$1,811.05