Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.32 / $341.30 / $1,400.00	Facility		$193.32	$341.30	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $280.26 / $415.56	Professional		$178.83	$280.26	$415.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.70 / $264.31 / $287.97	Facility		$237.70	$264.31	$287.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $255.97 / $255.97	Professional		$197.55	$255.97	$255.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $381.16 / $381.16	Facility		$381.16	$381.16	$381.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $362.33 / $946.16	Professional		$222.03	$362.33	$946.16
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 $222.90 / $346.62 / $529.54	Professional		$222.90	$346.62	$529.54