Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $124.99 / $1,700.00	Facility		$124.99	$124.99	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $132.62 / $147.85	Professional		$124.99	$132.62	$147.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $141.72 / $154.41	Facility		$127.35	$141.72	$154.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $137.26 / $137.26	Professional		$137.26	$137.26	$137.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $137.06 / $137.06	Facility		$137.06	$137.06	$137.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $182.68 / $921.78	Professional		$115.47	$182.68	$921.78
United Facility/Professional Facility Modifier Low / Median / High Price $15,155.78 / $15,155.78 / $15,155.78	Facility		$15,155.78	$15,155.78	$15,155.78
United Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $169.83 / $266.95	Professional		$101.36	$169.83	$266.95