Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,125.00 / $1,350.00	Facility		$738.00	$1,125.00	$1,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $738.00 / $765.00	Professional		$336.60	$738.00	$765.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,350.00 / $1,575.00	Facility		$990.00	$1,350.00	$1,575.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,215.00	Professional		$1,080.00	$1,080.00	$1,215.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.25 / $1,080.00 / $2,699.78	Facility		$731.25	$1,080.00	$2,699.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,338.00 / $4,338.00 / $4,338.00	Professional		$4,338.00	$4,338.00	$4,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $450.00 / $1,305.00	Professional		$378.00	$450.00	$1,305.00