Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $1,412.54	Facility		$154.88	$239.88	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $323.59	Professional		$147.91	$223.87	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $275.42	Facility		$34.67	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $1,737.80	Professional		$158.49	$269.15	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $4,570.88	Facility		$691.83	$691.83	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $346.74	Professional		$134.90	$213.80	$346.74