Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $231.50 / $277.80	Facility		$151.86	$231.50	$277.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $151.86 / $157.41	Professional		$138.90	$151.86	$157.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.02 / $1,041.75 / $5,000.39	Facility		$250.02	$1,041.75	$5,000.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $250.02 / $119,998.80	Professional		$222.24	$250.02	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $222.24 / $555.54	Facility		$150.47	$222.24	$555.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.66 / $892.66 / $892.66	Professional		$892.66	$892.66	$892.66
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $296.32	Professional		$77.78	$92.60	$296.32