Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.01 / $295.01 / $1,400.00	Facility		$295.01	$295.01	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $295.01 / $323.91	Professional		$231.20	$295.01	$323.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.60 / $5,170.76 / $10,331.69	Facility		$1,134.60	$5,170.76	$10,331.69
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 $323.25 / $323.25 / $323.25	Facility		$323.25	$323.25	$323.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.01 / $1,135.01 / $1,135.01	Professional		$1,135.01	$1,135.01	$1,135.01
United Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $282.85 / $435.11	Professional		$166.09	$282.85	$435.11