Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $1,412.54	Facility		$117.49	$138.04	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $562.34	Professional		$107.15	$158.49	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Facility		$138.04	$138.04	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $223.87	Facility		$34.67	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $954.99	Professional		$125.89	$190.55	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,570.40	Facility		$691.83	$691.83	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $257.04	Professional		$109.65	$169.82	$257.04