Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.42 / $465.42 / $3,500.00	Facility		$465.42	$465.42	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.73 / $465.42 / $673.80	Professional		$364.73	$465.42	$673.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.69 / $6,898.34 / $13,780.31	Facility		$1,513.69	$6,898.34	$13,780.31
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 $485.18 / $485.18 / $485.18	Facility		$485.18	$485.18	$485.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.59 / $2,020.59 / $2,020.59	Professional		$2,020.59	$2,020.59	$2,020.59
United Facility/Professional Professional Modifier Low / Median / High Price $493.17 / $708.93 / $1,112.93	Professional		$493.17	$708.93	$1,112.93