Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.57 / $178.40 / $1,600.00	Facility		$98.57	$178.40	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $249.53 / $297.73	Professional		$141.19	$249.53	$297.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $174.48 / $190.09	Facility		$157.07	$174.48	$190.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $168.97 / $168.97	Professional		$168.97	$168.97	$168.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Facility		$251.86	$251.86	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $332.46 / $696.92	Professional		$168.98	$332.46	$696.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.85 / $4,834.85 / $4,834.85	Facility		$4,834.85	$4,834.85	$4,834.85
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $329.12 / $485.85	Professional		$207.13	$329.12	$485.85