Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.59 / $523.59 / $1,047.18	Facility		$523.59	$523.59	$1,047.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $438.83 / $523.59	Professional		$167.91	$438.83	$523.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.49 / $2,383.94 / $5,048.33	Facility		$538.49	$2,383.94	$5,048.33
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 $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $778.00 / $778.00	Professional		$778.00	$778.00	$778.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.78 / $1,068.25 / $2,335.44	Professional		$231.78	$1,068.25	$2,335.44