Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $660.69	Facility		$77.62	$77.62	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,548.82 / $1,548.82	Facility		$616.60	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,754.23	Professional		$660.69	$660.69	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,621.81 / $1,659.59	Professional		$125.89	$1,621.81	$1,659.59