Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.26 / $371.26 / $1,700.00	Facility		$371.26	$371.26	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.26 / $407.98 / $1,479.41	Professional		$371.26	$407.98	$1,479.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,476.97 / $6,974.58 / $13,785.04	Facility		$1,476.97	$6,974.58	$13,785.04
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 $587.36 / $587.36 / $587.36	Facility		$587.36	$587.36	$587.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.27 / $2,460.27 / $2,460.27	Professional		$2,460.27	$2,460.27	$2,460.27
United Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $496.12 / $678.86	Professional		$310.83	$496.12	$678.86