Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $325.45 / $1,400.00	Facility		$96.95	$325.45	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $209.75 / $387.60	Professional		$89.47	$209.75	$387.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $115.50 / $125.85	Facility		$101.45	$115.50	$125.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $111.86 / $320.61	Professional		$111.86	$111.86	$320.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $162.66 / $162.66	Facility		$162.66	$162.66	$162.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $261.63 / $550.04	Professional		$104.39	$261.63	$550.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $331.45 / $496.74	Professional		$216.17	$331.45	$496.74