Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.54 / $625.54 / $1,400.00	Facility		$625.54	$625.54	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.20 / $625.54 / $2,408.67	Professional		$490.20	$625.54	$2,408.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,699.60 / $8,022.38 / $15,933.72	Facility		$1,699.60	$8,022.38	$15,933.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35,999.64 / $41,999.58 / $119,998.80	Professional		$35,999.64	$41,999.58	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.31 / $702.31 / $702.31	Facility		$702.31	$702.31	$702.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,926.41 / $2,926.41 / $2,926.41	Professional		$2,926.41	$2,926.41	$2,926.41
United Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $809.66 / $1,344.36	Professional		$410.06	$809.66	$1,344.36