Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $1,698.24	Facility		$134.90	$251.19	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $288.40	Professional		$123.03	$229.09	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Facility		$151.36	$151.36	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $239.88 / $239.88	Facility		$34.67	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $2,137.96	Professional		$138.04	$263.03	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,964.78	Facility		$2,884.03	$2,884.03	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $346.74	Professional		$114.82	$199.53	$346.74