Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,412.54	Facility		$302.00	$302.00	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $354.81	Professional		$288.40	$316.23	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $380.19	Facility		$302.00	$302.00	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $489.78 / $489.78	Facility		$34.67	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $1,318.26	Professional		$239.88	$446.68	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $512.86	Professional		$234.42	$331.13	$512.86