Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $1,412.54	Facility		$102.33	$169.82	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $234.42	Professional		$102.33	$162.18	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Facility		$114.82	$114.82	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $186.21	Facility		$34.67	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $870.96	Professional		$107.15	$181.97	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $660.69	Facility		$457.09	$457.09	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $263.03	Professional		$85.11	$147.91	$263.03