Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $250.00 / $300.00	Facility		$164.00	$250.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $164.00 / $170.00	Professional		$150.00	$164.00	$170.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,125.00 / $5,400.00	Facility		$270.00	$1,125.00	$5,400.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $270.00 / $119,998.80	Professional		$240.00	$270.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $240.00 / $599.95	Facility		$162.50	$240.00	$599.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $964.00 / $964.00	Professional		$964.00	$964.00	$964.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $100.00 / $290.00	Professional		$84.00	$100.00	$290.00