Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.65 / $407.65 / $1,400.00	Facility		$407.65	$407.65	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.65 / $438.09 / $513.12	Professional		$407.65	$438.09	$513.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $243.05 / $508.88	Facility		$178.23	$243.05	$508.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.44 / $452.34 / $72,899.27	Professional		$194.44	$452.34	$72,899.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.18 / $476.18 / $476.18	Facility		$476.18	$476.18	$476.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $571.33 / $1,992.54	Professional		$341.57	$571.33	$1,992.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $350.16 / $632.47	Professional		$165.00	$350.16	$632.47