Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $47.50 / $1,400.00	Facility		$47.50	$47.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.55 / $56.68	Professional		$47.50	$50.55	$56.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $742.75 / $1,640.83	Facility		$187.52	$742.75	$1,640.83
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 $60.02 / $60.02 / $60.02	Facility		$60.02	$60.02	$60.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $251.03 / $251.03	Professional		$71.95	$251.03	$251.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $56.78 / $87.71	Professional		$39.69	$56.78	$87.71