Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.86 / $745.86 / $1,700.00	Facility		$745.86	$745.86	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.96 / $745.86 / $868.73	Professional		$724.96	$745.86	$868.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,789.64 / $12,349.98 / $24,409.36	Facility		$2,789.64	$12,349.98	$24,409.36
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 $893.62 / $893.62 / $893.62	Facility		$893.62	$893.62	$893.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,720.03 / $3,720.03 / $3,720.03	Professional		$3,720.03	$3,720.03	$3,720.03
United Facility/Professional Professional Modifier Low / Median / High Price $601.34 / $826.85 / $1,274.60	Professional		$601.34	$826.85	$1,274.60