Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $1,412.54	Facility		$190.55	$190.55	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $630.96	Professional		$173.78	$218.78	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $239.88	Facility		$194.98	$194.98	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $316.23	Facility		$34.67	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $2,454.71	Professional		$181.97	$346.74	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,370.32	Facility		$1,230.27	$1,230.27	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $436.52	Professional		$144.54	$208.93	$436.52