Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $143.04 / $171.65	Facility		$93.83	$143.04	$171.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $93.83 / $93.83	Professional		$85.82	$93.83	$93.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $643.66 / $3,089.62	Facility		$154.47	$643.66	$3,089.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $154.47 / $119,998.80	Professional		$137.32	$154.47	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $137.32 / $343.26	Facility		$92.98	$137.32	$343.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $164.68 / $551.54	Professional		$131.75	$164.68	$551.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $57.22 / $114.43	Professional		$48.06	$57.22	$114.43