Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.92 / $390.93 / $1,400.00	Facility		$258.92	$390.93	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $258.92 / $318.73	Professional		$242.14	$258.92	$318.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $302.75 / $329.85	Facility		$273.17	$302.75	$329.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $293.20 / $293.20	Professional		$150.35	$293.20	$293.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $293.63 / $293.63	Facility		$293.63	$293.63	$293.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $366.50 / $760.16	Professional		$244.45	$366.50	$760.16
United Facility/Professional Facility Modifier Low / Median / High Price $16,689.68 / $16,689.68 / $16,689.68	Facility		$16,689.68	$16,689.68	$16,689.68
United Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $314.18 / $456.99	Professional		$208.36	$314.18	$456.99