Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.24 / $187.24 / $187.24	Facility		$187.24	$187.24	$187.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $229.03 / $229.03	Professional		$187.24	$229.03	$229.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.15 / $2,493.10 / $5,279.52	Facility		$563.15	$2,493.10	$5,279.52
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 $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $813.86 / $813.86	Professional		$813.86	$813.86	$813.86
United Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $194.41 / $362.89	Professional		$131.81	$194.41	$362.89