Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $163.44 / $1,400.00	Facility		$163.44	$163.44	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $163.44 / $179.44	Professional		$128.07	$163.44	$179.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.22 / $2,550.96 / $5,246.02	Facility		$576.22	$2,550.96	$5,246.02
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 $184.58 / $184.58 / $184.58	Facility		$184.58	$184.58	$184.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.65 / $768.65 / $768.65	Professional		$768.65	$768.65	$768.65
United Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $169.40 / $243.12	Professional		$113.86	$169.40	$243.12