Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $1,412.54	Facility		$104.71	$177.83	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $398.11	Professional		$104.71	$186.21	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Facility		$112.20	$112.20	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $562.34	Professional		$112.20	$190.55	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,513.56	Facility		$457.09	$457.09	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $263.03	Professional		$91.20	$154.88	$263.03