Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $2,812.22 / $2,812.22	Facility		$371.00	$2,812.22	$2,812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,812.22 / $2,923.60	Professional		$2,784.38	$2,812.22	$2,923.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,176.57	Facility		$2,784.38	$2,784.38	$4,176.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $6,455.71	Professional		$2,784.38	$2,784.38	$6,455.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $215.14 / $2,784.38	Facility		$215.14	$215.14	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,200.00	Professional		$2,784.38	$2,784.38	$4,200.00