Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.89 / $314.89 / $1,400.00	Facility		$314.89	$314.89	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $314.89 / $366.11	Professional		$305.61	$314.89	$366.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.83 / $5,209.97 / $10,297.36	Facility		$1,176.83	$5,209.97	$10,297.36
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 $376.98 / $376.98 / $376.98	Facility		$376.98	$376.98	$376.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.48 / $1,568.48 / $1,568.48	Professional		$1,568.48	$1,568.48	$1,568.48
United Facility/Professional Professional Modifier Low / Median / High Price $251.29 / $342.18 / $558.95	Professional		$251.29	$342.18	$558.95