Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $248.43 / $298.11	Facility		$122.15	$248.43	$298.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $122.15 / $158.99	Professional		$111.72	$122.15	$158.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $1,117.91 / $5,365.98	Facility		$268.30	$1,117.91	$5,365.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.49 / $268.30 / $119,998.80	Professional		$238.49	$268.30	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $238.49 / $446.82	Facility		$121.03	$238.49	$446.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.93 / $957.93 / $957.93	Professional		$957.93	$957.93	$957.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $82.76 / $240.00	Professional		$67.03	$82.76	$240.00