Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $1,412.54	Facility		$138.04	$141.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $234.42	Professional		$123.03	$151.36	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $190.55	Facility		$158.49	$158.49	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,318.26	Facility		$257.04	$257.04	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $954.99	Professional		$138.04	$181.97	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Facility		$457.09	$457.09	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $234.42	Professional		$104.71	$154.88	$234.42