Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.30 / $306.30 / $306.30	Facility		$306.30	$306.30	$306.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.30 / $359.03 / $359.03	Professional		$306.30	$359.03	$359.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.38 / $4,756.39 / $10,072.35	Facility		$1,074.38	$4,756.39	$10,072.35
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 $360.89 / $360.89 / $360.89	Facility		$360.89	$360.89	$360.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.19 / $1,509.19 / $1,509.19	Professional		$1,509.19	$1,509.19	$1,509.19
United Facility/Professional Professional Modifier Low / Median / High Price $251.46 / $419.22 / $751.86	Professional		$251.46	$419.22	$751.86