Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $329.58 / $1,400.00	Facility		$164.79	$329.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $164.79 / $327.80	Professional		$129.04	$164.79	$327.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.71 / $2,019.76 / $4,277.14	Facility		$427.71	$2,019.76	$4,277.14
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 $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
United Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $243.06 / $427.02	Professional		$175.20	$243.06	$427.02