Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.98 / $1,157.97 / $1,157.97	Facility		$964.98	$1,157.97	$1,157.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.99 / $578.99 / $625.29	Professional		$578.99	$578.99	$625.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.17 / $4,342.39 / $20,843.46	Facility		$1,042.17	$4,342.39	$20,843.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $926.38 / $1,042.17 / $119,998.80	Professional		$926.38	$1,042.17	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.24 / $926.38 / $2,315.76	Facility		$627.24	$926.38	$2,315.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $1,108.91 / $3,720.94	Professional		$887.12	$1,108.91	$3,720.94
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $347.39 / $1,042.17	Professional		$324.23	$347.39	$1,042.17