Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $1,412.54	Facility		$54.95	$102.33	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $138.04	Professional		$54.95	$102.33	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $75.86	Facility		$63.10	$63.10	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $102.33	Facility		$34.67	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $512.86	Professional		$58.88	$109.65	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,513.56	Facility		$457.09	$457.09	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $165.96	Professional		$47.86	$89.13	$165.96