Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $562.34	Facility		$77.62	$77.62	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,265.80 / $4,265.80	Facility		$524.81	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $3,801.89	Professional		$549.54	$549.54	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,691.53	Professional		$125.89	$2,691.53	$2,691.53