Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $152.38 / $182.87	Facility		$99.97	$152.38	$182.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $99.97 / $637.69	Professional		$91.43	$99.97	$637.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $685.75 / $3,291.58	Facility		$164.58	$685.75	$3,291.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $164.58 / $119,998.80	Professional		$146.29	$164.58	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $146.29 / $365.69	Facility		$99.05	$146.29	$365.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $587.61 / $587.61	Professional		$587.61	$587.61	$587.61
United Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $51.20 / $51.20	Facility		$51.20	$51.20	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $63.22 / $203.20	Professional		$54.86	$63.22	$203.20