Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $194.36 / $504.00	Facility		$194.36	$194.36	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $225.65 / $226.10	Professional		$194.36	$225.65	$226.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.36 / $2,833.43 / $5,666.86	Facility		$708.36	$2,833.43	$5,666.86
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 $223.70 / $223.70 / $662.24	Facility		$223.70	$223.70	$662.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.47 / $935.47 / $935.47	Professional		$935.47	$935.47	$935.47
United Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $271.27 / $474.09	Professional		$125.07	$271.27	$474.09