Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $77.68 / $93.21	Facility		$50.95	$77.68	$93.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $50.33 / $50.95	Professional		$46.61	$50.33	$50.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.89 / $349.54 / $1,677.78	Facility		$83.89	$349.54	$1,677.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $83.89 / $119,998.80	Professional		$74.56	$83.89	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $74.56 / $186.40	Facility		$50.49	$74.56	$186.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $89.31 / $299.51	Professional		$71.45	$89.31	$299.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $27.96 / $83.89	Professional		$26.10	$27.96	$83.89