Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $6,165.95 / $41,686.94	Facility		$407.38	$6,165.95	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $6,918.31 / $12,022.64	Professional		$537.03	$6,918.31	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $724.44 / $724.44	Facility		$34.67	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $77.62	Professional		$30.20	$39.81	$77.62