Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.86 / $170.86 / $1,600.00	Facility		$170.86	$170.86	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $170.86 / $199.97	Professional		$165.08	$170.86	$199.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.41 / $196.64 / $214.25	Facility		$178.41	$196.64	$214.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $190.44	Professional		$190.44	$190.44	$190.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $191.29 / $191.29	Facility		$191.29	$191.29	$191.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $251.27 / $1,072.34	Professional		$162.43	$251.27	$1,072.34
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 $142.26 / $203.90 / $363.73	Professional		$142.26	$203.90	$363.73