Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $1,412.54	Facility		$61.66	$158.49	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $208.93	Professional		$61.66	$123.03	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $83.18	Facility		$67.61	$67.61	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $109.65	Facility		$34.67	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $512.86	Professional		$69.18	$158.49	$512.86
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 $54.95 / $125.89 / $234.42	Professional		$54.95	$125.89	$234.42