Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $117.49 / $1,412.54	Facility		$109.65	$117.49	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $190.55	Professional		$87.10	$104.71	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Facility		$114.82	$114.82	$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 $186.21 / $186.21 / $1,318.26	Facility		$186.21	$186.21	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $758.58	Professional		$93.33	$144.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $194.98	Professional		$95.50	$138.04	$194.98