Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $739.90 / $1,400.00	Facility		$135.91	$739.90	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $323.83 / $984.27	Professional		$130.28	$323.83	$984.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.66 / $159.49 / $173.77	Facility		$143.66	$159.49	$173.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $154.46 / $718.16	Professional		$154.46	$154.46	$718.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $230.35 / $230.35	Facility		$230.35	$230.35	$230.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $537.44 / $1,693.22	Professional		$144.93	$537.44	$1,693.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.59 / $1,060.50 / $1,742.52	Professional		$630.59	$1,060.50	$1,742.52