Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,412.54	Facility		$288.40	$288.40	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $489.78	Professional		$288.40	$323.59	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Facility		$316.23	$316.23	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $501.19 / $501.19	Facility		$34.67	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $1,513.56	Professional		$251.19	$398.11	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $467.74	Professional		$208.93	$288.40	$467.74