Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $281.84 / $1,412.54	Facility		$85.11	$281.84	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $363.08	Professional		$79.43	$194.98	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Facility		$89.13	$89.13	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $891.25	Professional		$89.13	$257.04	$891.25
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 $70.79 / $173.78 / $363.08	Professional		$70.79	$173.78	$363.08