Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $1,412.54	Facility		$107.15	$147.91	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $165.96	Professional		$91.20	$125.89	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $144.54	Facility		$117.49	$117.49	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $190.55	Facility		$34.67	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $1,047.13	Professional		$104.71	$158.49	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,041.74	Facility		$691.83	$691.83	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $251.19	Professional		$97.72	$151.36	$251.19