Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $1,412.54	Facility		$245.47	$245.47	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $281.84	Professional		$234.42	$257.04	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Facility		$245.47	$245.47	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $389.05 / $389.05	Facility		$34.67	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,071.52	Professional		$190.55	$371.54	$1,071.52
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 $199.53 / $281.84 / $436.52	Professional		$199.53	$281.84	$436.52