Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $366.99 / $1,700.00	Facility		$366.99	$366.99	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.84 / $366.99 / $575.14	Professional		$353.84	$366.99	$575.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.08 / $5,246.79 / $10,370.11	Facility		$1,111.08	$5,246.79	$10,370.11
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 $436.50 / $436.50 / $436.50	Facility		$436.50	$436.50	$436.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,992.54 / $1,992.54 / $1,992.54	Professional		$1,992.54	$1,992.54	$1,992.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $329.88 / $675.74	Professional		$226.57	$329.88	$675.74