Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.34 / $960.34 / $1,400.00	Facility		$960.34	$960.34	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $770.51 / $960.34	Professional		$294.39	$770.51	$960.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,013.59 / $8,914.33 / $18,333.95	Facility		$2,013.59	$8,914.33	$18,333.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35,999.64 / $119,998.80 / $119,998.80	Professional		$35,999.64	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.07 / $919.07 / $919.07	Facility		$919.07	$919.07	$919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
United Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $493.47 / $785.07	Professional		$320.89	$493.47	$785.07