Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.64 / $479.64 / $1,700.00	Facility		$479.64	$479.64	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.17 / $526.62 / $616.30	Professional		$454.17	$526.62	$616.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,685.21 / $7,957.91 / $15,728.58	Facility		$1,685.21	$7,957.91	$15,728.58
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 $575.40 / $575.40 / $575.40	Facility		$575.40	$575.40	$575.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,397.90 / $2,397.90 / $2,397.90	Professional		$2,397.90	$2,397.90	$2,397.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.91 / $614.32 / $877.61	Professional		$401.91	$614.32	$877.61