Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $1,412.54	Facility		$213.80	$309.03	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $478.63	Professional		$213.80	$309.03	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Facility		$234.42	$234.42	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $1,258.93	Professional		$234.42	$363.08	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $537.03	Professional		$194.98	$316.23	$537.03