Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.13 / $297.13 / $1,700.00	Facility		$297.13	$297.13	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $297.13 / $450.84	Professional		$255.98	$297.13	$450.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $919.01 / $4,068.53 / $8,041.32	Facility		$919.01	$4,068.53	$8,041.32
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 $309.06 / $309.06 / $309.06	Facility		$309.06	$309.06	$309.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.94 / $1,290.94 / $1,290.94	Professional		$1,290.94	$1,290.94	$1,290.94
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $430.12 / $710.59	Professional		$321.17	$430.12	$710.59