Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $1,584.89	Facility		$218.78	$323.59	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $380.19	Professional		$186.21	$263.03	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $288.40	Facility		$234.42	$234.42	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $380.19 / $380.19	Facility		$34.67	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $1,584.89	Professional		$208.93	$331.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,754.40	Facility		$1,230.27	$1,230.27	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $489.78	Professional		$199.53	$309.03	$489.78