Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.49 / $166.49 / $504.00	Facility		$166.49	$166.49	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $219.78 / $254.95	Professional		$166.49	$219.78	$254.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.23 / $3,455.49 / $7,108.43	Facility		$758.23	$3,455.49	$7,108.43
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 $109.40 / $254.26 / $403.15	Facility		$109.40	$254.26	$403.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,064.88 / $1,064.88	Professional		$1,064.88	$1,064.88	$1,064.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $326.37 / $531.17	Professional		$125.09	$326.37	$531.17