Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.48 / $192.48 / $384.96	Facility		$192.48	$192.48	$384.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $104.71 / $192.48	Professional		$103.97	$104.71	$192.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.55 / $973.22 / $2,002.05	Facility		$213.55	$973.22	$2,002.05
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 $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.76 / $481.76 / $481.76	Professional		$481.76	$481.76	$481.76
United Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $415.15 / $703.02	Professional		$172.35	$415.15	$703.02