Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.17 / $936.17 / $3,550.00	Facility		$936.17	$936.17	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.61 / $936.17 / $1,122.16	Professional		$733.61	$936.17	$1,122.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,934.40 / $12,990.81 / $26,718.61	Facility		$2,934.40	$12,990.81	$26,718.61
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 $1,114.47 / $1,114.47 / $1,114.47	Facility		$1,114.47	$1,114.47	$1,114.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,669.52 / $4,669.52 / $4,669.52	Professional		$4,669.52	$4,669.52	$4,669.52
United Facility/Professional Professional Modifier Low / Median / High Price $799.79 / $1,440.72 / $2,521.26	Professional		$799.79	$1,440.72	$2,521.26