Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,000.00	Professional		$457.09	$812.83	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $173.78	Professional		$100.00	$120.23	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $758.58 / $1,122.02	Facility		$117.49	$758.58	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $794.33 / $1,479.11	Professional		$104.71	$794.33	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $281.84 / $3,162.28	Facility		$70.79	$281.84	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $114.82 / $977.24	Professional		$41.69	$114.82	$977.24