Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $363.08 / $1,412.54	Facility		$83.18	$363.08	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $302.00 / $489.78	Professional		$83.18	$302.00	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $138.04	Facility		$34.67	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $346.74 / $1,698.24	Professional		$77.62	$346.74	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,737.80	Facility		$691.83	$691.83	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $257.04 / $691.83	Professional		$83.18	$257.04	$691.83