Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $1,057.83 / $1,269.41	Facility		$693.94	$1,057.83	$1,269.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $693.94 / $719.33	Professional		$634.70	$693.94	$719.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.46 / $4,760.27 / $22,849.30	Facility		$1,142.46	$4,760.27	$22,849.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,142.46 / $119,998.80	Professional		$1,015.52	$1,142.46	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $1,015.52 / $2,538.62	Facility		$687.60	$1,015.52	$2,538.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,079.02 / $4,079.02 / $4,079.02	Professional		$4,079.02	$4,079.02	$4,079.02
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $423.14 / $1,532.09	Professional		$355.43	$423.14	$1,532.09