Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $1,412.54	Facility		$134.90	$134.90	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $229.09	Professional		$120.23	$134.90	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Facility		$138.04	$138.04	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $223.87	Facility		$34.67	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $630.96	Professional		$123.03	$181.97	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $245.47	Professional		$107.15	$158.49	$245.47