Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $204.17 / $1,412.54	Facility		$89.13	$204.17	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $263.03	Professional		$85.11	$177.83	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $117.49	Facility		$95.50	$95.50	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $645.65	Professional		$97.72	$199.53	$645.65
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 $79.43 / $158.49 / $309.03	Professional		$79.43	$158.49	$309.03