Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.75 / $470.75 / $1,700.00	Facility		$470.75	$470.75	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.88 / $470.75 / $523.66	Professional		$368.88	$470.75	$523.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,555.77 / $7,562.79 / $15,109.92	Facility		$1,555.77	$7,562.79	$15,109.92
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 $532.00 / $532.00 / $532.00	Facility		$532.00	$532.00	$532.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.92 / $2,213.92 / $2,213.92	Professional		$2,213.92	$2,213.92	$2,213.92
United Facility/Professional Facility Modifier Low / Median / High Price $23,203.08 / $23,203.08 / $23,203.08	Facility		$23,203.08	$23,203.08	$23,203.08
United Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $594.16 / $872.76	Professional		$372.10	$594.16	$872.76