Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,128.00 / $3,128.00	Professional		$2,944.00	$3,128.00	$3,128.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.50 / $715.50 / $44,999.55	Facility		$715.50	$715.50	$44,999.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $715.50 / $715.50	Professional		$715.50	$715.50	$715.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.09 / $1,212.09 / $3,128.00	Facility		$1,212.09	$1,212.09	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,104.00 / $3,200.00 / $3,677.25	Professional		$3,104.00	$3,200.00	$3,677.25