Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $352.19 / $1,400.00	Facility		$224.23	$352.19	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.23 / $342.40 / $583.66	Professional		$224.23	$342.40	$583.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $272.75 / $297.16	Facility		$250.07	$272.75	$297.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $264.14 / $264.14	Professional		$200.14	$264.14	$264.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.99 / $400.99 / $400.99	Facility		$400.99	$400.99	$400.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $390.29 / $1,009.35	Professional		$244.09	$390.29	$1,009.35
United Facility/Professional Facility Modifier Low / Median / High Price $9,096.79 / $9,096.79 / $9,096.79	Facility		$9,096.79	$9,096.79	$9,096.79
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $422.64 / $602.27	Professional		$284.13	$422.64	$602.27