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 $43.07 / $438.83 / $523.59	Professional		$43.07	$438.83	$523.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $629.51 / $1,295.00	Facility		$138.13	$629.51	$1,295.00
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 $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.18 / $343.18 / $343.18	Professional		$343.18	$343.18	$343.18
United Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $1,153.53 / $1,963.56	Professional		$111.48	$1,153.53	$1,963.56