Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $169.42 / $1,400.00	Facility		$169.42	$169.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $186.34 / $250.28	Professional		$160.68	$186.34	$250.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.01 / $2,644.51 / $5,226.79	Facility		$560.01	$2,644.51	$5,226.79
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 $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.70 / $796.70 / $796.70	Professional		$796.70	$796.70	$796.70
United Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $258.39 / $560.96	Professional		$121.60	$258.39	$560.96