Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $42.33 / $50.79	Facility		$27.77	$42.33	$50.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.77 / $28.78	Professional		$25.40	$27.77	$28.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $190.46 / $914.22	Facility		$45.71	$190.46	$914.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $45.71 / $119,998.80	Professional		$40.63	$45.71	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $40.63 / $101.58	Facility		$27.51	$40.63	$101.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $163.21	Professional		$163.21	$163.21	$163.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.93 / $45.71	Professional		$14.22	$16.93	$45.71