Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.33 / $1,050.81 / $1,260.98	Facility		$689.33	$1,050.81	$1,260.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $680.93 / $689.33	Professional		$630.49	$680.93	$689.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.88 / $4,728.66 / $22,697.56	Facility		$1,134.88	$4,728.66	$22,697.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.78 / $1,134.88 / $119,998.80	Professional		$1,008.78	$1,134.88	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.03 / $1,008.78 / $2,521.73	Facility		$683.03	$1,008.78	$2,521.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,207.51 / $4,051.93	Professional		$966.01	$1,207.51	$4,051.93
United Facility/Professional Facility Modifier Low / Median / High Price $353.07 / $353.07 / $353.07	Facility		$353.07	$353.07	$353.07
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $378.29 / $1,134.88	Professional		$353.07	$378.29	$1,134.88