Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $1,698.24	Facility		$549.54	$575.44	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $676.08	Professional		$467.74	$562.34	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $10,471.29 / $41,686.94	Facility		$831.76	$10,471.29	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $12,882.50	Professional		$776.25	$977.24	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $707.95	Professional		$295.12	$416.87	$707.95