Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.15 / $99,580.58 / $99,580.58	Facility		$253.15	$99,580.58	$99,580.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.64 / $271.57	Professional		$258.63	$258.64	$271.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $284.50 / $387.96	Facility		$258.64	$284.50	$387.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $599.66	Professional		$258.64	$258.64	$599.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $248.93 / $258.64	Facility		$244.00	$248.93	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $268.39	Professional		$258.64	$258.64	$268.39
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $287.08 / $304.22	Professional		$258.64	$287.08	$304.22