Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $1,412.54	Facility		$128.82	$165.96	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $234.42	Professional		$120.23	$158.49	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Facility		$138.04	$138.04	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,318.26	Facility		$223.87	$223.87	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $1,047.13	Professional		$128.82	$204.17	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,466.84	Facility		$1,230.27	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $251.19	Professional		$109.65	$165.96	$251.19