Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $575.44 / $575.44	Facility		$158.49	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $363.08	Professional		$147.91	$257.04	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $616.60 / $1,148.15	Facility		$316.23	$616.60	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $239.88	Professional		$81.28	$95.50	$239.88