Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.60 / $975.00 / $1,170.00	Facility		$639.60	$975.00	$1,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $639.60 / $663.00	Professional		$585.00	$639.60	$663.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,053.00 / $1,287.00	Facility		$780.00	$1,053.00	$1,287.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,053.00 / $1,053.00	Professional		$780.00	$1,053.00	$1,053.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.75 / $1,197.08 / $2,339.81	Facility		$633.75	$1,197.08	$2,339.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,759.60 / $3,759.60 / $3,759.60	Professional		$3,759.60	$3,759.60	$3,759.60
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $390.00 / $1,131.00	Professional		$327.60	$390.00	$1,131.00