Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $63.85 / $63.85	Facility		$63.85	$63.85	$63.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $63.85 / $74.98	Professional		$61.60	$63.85	$74.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.78 / $1,052.04 / $2,079.31	Facility		$222.78	$1,052.04	$2,079.31
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 $79.79 / $79.79 / $79.79	Facility		$79.79	$79.79	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $333.64 / $333.64	Professional		$333.64	$333.64	$333.64
United Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $86.55 / $121.42	Professional		$54.43	$86.55	$121.42