Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.21 / $917.21 / $1,400.00	Facility		$917.21	$917.21	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.80 / $917.21 / $935.34	Professional		$718.80	$917.21	$935.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,620.70 / $16,029.14 / $32,965.37	Facility		$3,620.70	$16,029.14	$32,965.37
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 $1,152.40 / $1,152.40 / $1,152.40	Facility		$1,152.40	$1,152.40	$1,152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,543.24 / $4,543.24 / $4,543.24	Professional		$4,543.24	$4,543.24	$4,543.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.46 / $1,105.74 / $1,746.38	Professional		$735.46	$1,105.74	$1,746.38