Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $563.64 / $676.37	Facility		$369.75	$563.64	$676.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $369.75 / $383.27	Professional		$338.18	$369.75	$383.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.73 / $2,536.37 / $12,174.58	Facility		$608.73	$2,536.37	$12,174.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $608.73 / $119,998.80	Professional		$541.09	$608.73	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.36 / $541.09 / $1,352.61	Facility		$366.36	$541.09	$1,352.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,173.39 / $2,173.39 / $2,173.39	Professional		$2,173.39	$2,173.39	$2,173.39
United Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $225.46 / $608.73	Professional		$189.38	$225.46	$608.73