Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.58 / $990.21 / $1,188.26	Facility		$649.58	$990.21	$1,188.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $641.66 / $649.58	Professional		$594.13	$641.66	$649.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.43 / $4,455.96 / $21,388.60	Facility		$1,069.43	$4,455.96	$21,388.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,069.43 / $119,998.80	Professional		$950.60	$1,069.43	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.64 / $950.60 / $950.60	Facility		$643.64	$950.60	$950.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $1,137.82 / $3,818.26	Professional		$910.25	$1,137.82	$3,818.26
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $356.48 / $1,069.43	Professional		$332.71	$356.48	$1,069.43