Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $176.39 / $1,400.00	Facility		$176.39	$176.39	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $193.63 / $292.60	Professional		$166.95	$193.63	$292.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $2,950.04 / $6,065.64	Facility		$624.71	$2,950.04	$6,065.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71
United Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $206.91 / $289.83	Professional		$131.66	$206.91	$289.83