Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $167.66 / $201.20	Facility		$109.99	$167.66	$201.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $109.99 / $114.01	Professional		$100.60	$109.99	$114.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.08 / $754.48 / $3,621.52	Facility		$181.08	$754.48	$3,621.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $181.08 / $119,998.80	Professional		$160.96	$181.08	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $160.96 / $402.34	Facility		$108.98	$160.96	$402.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Professional		$646.51	$646.51	$646.51
United Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $56.33 / $56.33	Facility		$56.33	$56.33	$56.33
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $67.06 / $194.49	Professional		$56.33	$67.06	$194.49