Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.87 / $504.87 / $1,700.00	Facility		$504.87	$504.87	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.64 / $504.87 / $577.47	Professional		$395.64	$504.87	$577.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $13,096.29 / $26,165.47	Facility		$2,873.70	$13,096.29	$26,165.47
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 $678.13 / $678.13 / $678.13	Facility		$678.13	$678.13	$678.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,243.57 / $2,243.57 / $2,243.57	Professional		$2,243.57	$2,243.57	$2,243.57
United Facility/Professional Professional Modifier Low / Median / High Price $449.12 / $695.89 / $1,149.73	Professional		$449.12	$695.89	$1,149.73