Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $143.04 / $171.65	Facility		$70.33	$143.04	$171.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $70.33 / $70.33	Professional		$64.33	$70.33	$70.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $643.66 / $3,089.62	Facility		$154.47	$643.66	$3,089.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $154.47 / $119,998.80	Professional		$137.32	$154.47	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $137.32 / $257.29	Facility		$69.69	$137.32	$257.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $164.68 / $551.54	Professional		$131.75	$164.68	$551.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $40.03 / $128.66	Professional		$38.60	$40.03	$128.66