Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $1,412.54	Facility		$208.93	$208.93	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $371.54	Professional		$194.98	$223.87	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Facility		$223.87	$223.87	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $354.81	Facility		$34.67	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $1,258.93	Professional		$204.17	$302.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $371.54	Professional		$169.82	$245.47	$371.54