Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $308.64 / $370.38	Facility		$202.47	$308.64	$370.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $200.01 / $202.47	Professional		$185.19	$200.01	$202.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.34 / $1,388.93 / $6,666.84	Facility		$333.34	$1,388.93	$6,666.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $333.34 / $119,998.80	Professional		$296.30	$333.34	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.63 / $296.30 / $740.71	Facility		$200.63	$296.30	$740.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $354.66 / $1,190.15	Professional		$283.73	$354.66	$1,190.15
United Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $111.11 / $333.34	Professional		$103.71	$111.11	$333.34