Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $1,412.54	Facility		$69.18	$69.18	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $109.65	Professional		$67.61	$74.13	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $114.82	Facility		$34.67	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $426.58	Professional		$53.70	$102.33	$426.58
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 $54.95 / $79.43 / $120.23	Professional		$54.95	$79.43	$120.23