Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $195.94 / $235.13	Facility		$128.54	$195.94	$235.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $128.54 / $133.24	Professional		$117.56	$128.54	$133.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.61 / $881.72 / $4,232.26	Facility		$211.61	$881.72	$4,232.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $211.61 / $119,998.80	Professional		$188.10	$211.61	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.36 / $188.10 / $470.22	Facility		$127.36	$188.10	$470.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.54 / $755.54 / $755.54	Professional		$755.54	$755.54	$755.54
United Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $94.05 / $94.05	Facility		$94.05	$94.05	$94.05
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $78.38 / $211.61	Professional		$65.84	$78.38	$211.61