Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Facility		$141.80	$141.80	$141.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $148.18 / $169.32	Professional		$115.59	$148.18	$169.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $2,387.60 / $4,911.64	Facility		$523.91	$2,387.60	$4,911.64
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 $175.97 / $175.97 / $175.97	Facility		$175.97	$175.97	$175.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.92 / $735.92 / $735.92	Professional		$735.92	$735.92	$735.92
United Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $179.61 / $322.36	Professional		$118.46	$179.61	$322.36