Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $257.64 / $1,400.00	Facility		$167.95	$257.64	$1,400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.62 / $199.52 / $217.39	Facility		$179.62	$199.52	$217.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.61 / $192.61 / $192.61	Facility		$192.61	$192.61	$192.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,318.53 / $5,318.53 / $5,318.53	Facility		$5,318.53	$5,318.53	$5,318.53