Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,698.24	Facility		$234.42	$234.42	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $338.84	Professional		$204.17	$234.42	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Facility		$269.15	$269.15	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $426.58 / $426.58	Facility		$34.67	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,737.80	Professional		$213.80	$354.81	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $9,120.11	Facility		$2,454.71	$2,454.71	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $446.68	Professional		$199.53	$275.42	$446.68