Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $1,412.54	Facility		$194.98	$331.13	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $446.68	Professional		$190.55	$316.23	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Facility		$213.80	$213.80	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $338.84 / $338.84	Facility		$34.67	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $1,047.13	Professional		$190.55	$338.84	$1,047.13
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 $162.18 / $269.15 / $457.09	Professional		$162.18	$269.15	$457.09