Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $1,698.24	Facility		$154.88	$213.80	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $354.81	Professional		$147.91	$199.53	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $213.80	Facility		$177.83	$177.83	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,862.09	Facility		$288.40	$288.40	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $1,698.24	Professional		$162.18	$251.19	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,120.11	Facility		$2,884.03	$2,884.03	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $295.12	Professional		$131.83	$194.98	$295.12