Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.16 / $517.16 / $2,300.00	Facility		$517.16	$517.16	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.24 / $517.16 / $567.76	Professional		$405.24	$517.16	$567.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,661.72 / $7,572.96 / $15,130.72	Facility		$1,661.72	$7,572.96	$15,130.72
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 $584.03 / $584.03 / $584.03	Facility		$584.03	$584.03	$584.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.06 / $2,217.06 / $2,217.06	Professional		$2,217.06	$2,217.06	$2,217.06
United Facility/Professional Professional Modifier Low / Median / High Price $410.18 / $625.84 / $962.38	Professional		$410.18	$625.84	$962.38