Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $18.34 / $36.68	Facility		$18.34	$18.34	$36.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $21.53 / $21.53	Professional		$18.34	$21.53	$21.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $649.14 / $1,374.65	Facility		$146.63	$649.14	$1,374.65
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 $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $91.97 / $91.97	Professional		$91.97	$91.97	$91.97
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $27.29 / $54.72	Professional		$16.84	$27.29	$54.72