Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.54 / $553.54 / $1,700.00	Facility		$553.54	$553.54	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $553.54 / $633.22	Professional		$325.14	$553.54	$633.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.16 / $5,401.10 / $10,790.02	Facility		$1,185.16	$5,401.10	$10,790.02
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 $379.24 / $379.24 / $379.24	Facility		$379.24	$379.24	$379.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.37 / $1,579.37 / $1,579.37	Professional		$1,579.37	$1,579.37	$1,579.37
United Facility/Professional Facility Modifier Low / Median / High Price $10,203.37 / $10,203.37 / $10,203.37	Facility		$10,203.37	$10,203.37	$10,203.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $711.71 / $1,086.08	Professional		$446.36	$711.71	$1,086.08