Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.74 / $164.74 / $1,600.00	Facility		$164.74	$164.74	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $206.72 / $227.24	Professional		$129.12	$206.72	$227.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.44 / $3,911.06 / $7,730.10	Facility		$883.44	$3,911.06	$7,730.10
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 $262.99 / $262.99 / $262.99	Facility		$262.99	$262.99	$262.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.29 / $1,102.29 / $1,102.29	Professional		$1,102.29	$1,102.29	$1,102.29
United Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $220.19 / $398.05	Professional		$137.96	$220.19	$398.05