Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $221.74 / $1,700.00	Facility		$221.74	$221.74	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $243.46 / $611.14	Professional		$173.80	$243.46	$611.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,369.55 / $6,241.43 / $12,470.53	Facility		$1,369.55	$6,241.43	$12,470.53
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 $712.80 / $712.80 / $712.80	Facility		$712.80	$712.80	$712.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.08 / $2,970.08 / $2,970.08	Professional		$2,970.08	$2,970.08	$2,970.08
United Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $308.02 / $504.31	Professional		$196.95	$308.02	$504.31