Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $178.29 / $213.95	Facility		$116.96	$178.29	$213.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $116.96 / $121.24	Professional		$106.97	$116.96	$121.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $802.30 / $3,851.02	Facility		$192.55	$802.30	$3,851.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $192.55 / $119,998.80	Professional		$171.16	$192.55	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $171.16 / $427.86	Facility		$115.89	$171.16	$427.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $687.48 / $687.48	Professional		$687.48	$687.48	$687.48
United Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $59.90 / $59.90	Facility		$59.90	$59.90	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $71.31 / $206.81	Professional		$59.90	$71.31	$206.81