Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $1,698.24	Facility		$562.34	$588.84	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $691.83	Professional		$478.63	$562.34	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $10,715.19 / $41,686.94	Facility		$831.76	$10,715.19	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $13,182.57	Professional		$776.25	$1,000.00	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $912.01	Professional		$831.76	$831.76	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $707.95	Professional		$295.12	$426.58	$707.95