Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $202.90 / $1,400.00	Facility		$202.90	$202.90	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $222.36 / $292.45	Professional		$202.75	$222.36	$292.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.58 / $5,069.72 / $10,020.16	Facility		$1,073.58	$5,069.72	$10,020.16
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 $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
United Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $299.26 / $477.51	Professional		$183.14	$299.26	$477.51