Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $39.15 / $47.00	Facility		$25.69	$39.15	$47.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.38 / $25.69	Professional		$23.50	$25.38	$25.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $176.23 / $845.92	Facility		$42.30	$176.23	$845.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $42.30 / $119,998.80	Professional		$37.60	$42.30	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $37.60 / $93.96	Facility		$25.45	$37.60	$93.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $44.91 / $151.01	Professional		$35.93	$44.91	$151.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $15.67 / $42.30	Professional		$13.16	$15.67	$42.30