Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $346.74 / $1,584.89	Facility		$154.88	$346.74	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $457.09	Professional		$154.88	$338.84	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $213.80	Facility		$173.78	$173.78	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,659.59	Facility		$281.84	$281.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $2,041.74	Professional		$158.49	$363.08	$2,041.74
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 $144.54 / $288.40 / $707.95	Professional		$144.54	$288.40	$707.95