Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $1,412.54	Facility		$208.93	$389.05	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $588.84	Professional		$204.17	$371.54	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $269.15	Facility		$218.78	$218.78	$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 $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $1,230.27	Professional		$218.78	$416.87	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,570.40	Facility		$1,230.27	$1,230.27	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $691.83	Professional		$181.97	$346.74	$691.83