Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,698.24	Facility		$186.21	$186.21	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $338.84	Professional		$173.78	$204.17	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Facility		$204.17	$204.17	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $1,230.27	Professional		$190.55	$257.04	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $9,332.54	Facility		$2,454.71	$2,454.71	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $323.59	Professional		$147.91	$208.93	$323.59