Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $43.86 / $52.64	Facility		$28.77	$43.86	$52.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.77 / $29.83	Professional		$26.32	$28.77	$29.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $197.38 / $947.44	Facility		$47.37	$197.38	$947.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $47.37 / $119,998.80	Professional		$42.11	$47.37	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $42.11 / $105.27	Facility		$28.51	$42.11	$105.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $169.13 / $169.13	Professional		$169.13	$169.13	$169.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $15.79 / $50.88	Professional		$14.74	$15.79	$50.88