Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.35 / $354.35 / $1,700.00	Facility		$354.35	$354.35	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.69 / $354.35 / $397.95	Professional		$277.69	$354.35	$397.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.89 / $5,453.65 / $11,215.90	Facility		$1,154.89	$5,453.65	$11,215.90
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 $426.41 / $426.41 / $426.41	Facility		$426.41	$426.41	$426.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.28 / $1,643.28 / $1,643.28	Professional		$1,643.28	$1,643.28	$1,643.28
United Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $388.78 / $634.85	Professional		$282.75	$388.78	$634.85