Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $130.40	Facility		$65.20	$65.20	$130.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $76.48 / $76.48	Professional		$65.20	$76.48	$76.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.94 / $1,234.74 / $2,540.03	Facility		$270.94	$1,234.74	$2,540.03
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 $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.32 / $338.32 / $338.32	Professional		$338.32	$338.32	$338.32
United Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $110.22 / $160.86	Professional		$61.61	$110.22	$160.86