Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $1,400.00 / $1,616.45	Facility		$57.32	$1,400.00	$1,616.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $242.78 / $3,637.47	Professional		$57.32	$242.78	$3,637.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $905.13 / $1,787.32	Facility		$198.61	$905.13	$1,787.32
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 $96.73 / $96.73 / $96.73	Facility		$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $263.51 / $14,295.40	Professional		$263.51	$263.51	$14,295.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.74 / $2,313.37 / $4,400.34	Professional		$1,502.74	$2,313.37	$4,400.34