Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $1,412.54	Facility		$123.03	$194.98	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $295.12	Professional		$123.03	$186.21	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $660.69	Professional		$134.90	$213.80	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,258.93	Facility		$457.09	$457.09	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $275.42	Professional		$104.71	$173.78	$275.42