Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $243.39 / $1,200.00	Facility		$154.77	$243.39	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $238.50 / $285.58	Professional		$154.11	$238.50	$285.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.74 / $188.48 / $205.36	Facility		$170.74	$188.48	$205.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $182.54 / $182.54	Professional		$139.40	$182.54	$182.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $273.77	Facility		$273.77	$273.77	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $271.88 / $668.23	Professional		$165.17	$271.88	$668.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,542.60 / $4,542.60 / $4,542.60	Facility		$4,542.60	$4,542.60	$4,542.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $277.52 / $395.06	Professional		$190.96	$277.52	$395.06