Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,202.26 / $1,659.59	Facility		$169.82	$1,202.26	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $660.69 / $2,089.30	Professional		$165.96	$660.69	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Facility		$190.55	$190.55	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $302.00	Facility		$34.67	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,659.59 / $8,317.64	Professional		$169.82	$1,659.59	$8,317.64
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 $169.82 / $1,096.48 / $3,019.95	Professional		$169.82	$1,096.48	$3,019.95