Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $1,412.54	Facility		$107.15	$107.15	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $218.78	Professional		$102.33	$117.49	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Facility		$123.03	$123.03	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,318.26	Facility		$194.98	$194.98	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $707.95	Professional		$109.65	$162.18	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,949.84	Facility		$691.83	$691.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $204.17	Professional		$93.33	$134.90	$204.17