Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $446.68 / $1,412.54	Facility		$288.40	$446.68	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $630.96	Professional		$281.84	$426.58	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Facility		$316.23	$316.23	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $512.86 / $512.86	Facility		$34.67	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,258.93	Professional		$288.40	$446.68	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $9,332.54	Facility		$3,548.13	$3,548.13	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $575.44	Professional		$245.47	$363.08	$575.44