Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,412.54	Facility		$223.87	$223.87	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $398.11	Professional		$208.93	$251.19	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $389.05 / $389.05	Facility		$34.67	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $1,047.13	Professional		$181.97	$309.03	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,311.31	Facility		$1,230.27	$1,230.27	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $446.68	Professional		$186.21	$275.42	$446.68