Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $89.18	Facility		$89.18	$89.18	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $104.34 / $484.22	Professional		$89.18	$104.34	$484.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $1,303.97 / $2,682.45	Facility		$286.13	$1,303.97	$2,682.45
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 $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.87 / $470.87 / $470.87	Professional		$470.87	$470.87	$470.87
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $212.50 / $399.60	Professional		$75.22	$212.50	$399.60