Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Facility		$28.67	$28.67	$28.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $39.94 / $39.94	Professional		$28.67	$39.94	$39.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $639.74 / $1,354.73	Facility		$144.50	$639.74	$1,354.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $169.95 / $169.95	Professional		$169.95	$169.95	$169.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $5.53 / $37.15	Professional		$2.11	$5.53	$37.15