Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $1,412.54	Facility		$117.49	$204.17	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $295.12	Professional		$114.82	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Facility		$128.82	$128.82	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $645.65	Professional		$123.03	$218.78	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $9,332.54	Facility		$1,230.27	$1,230.27	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $316.23	Professional		$95.50	$173.78	$316.23