Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.22 / $221.21 / $2,600.00	Facility		$198.22	$221.21	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $213.86 / $254.06	Professional		$178.51	$213.86	$254.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.05 / $265.12 / $288.85	Facility		$233.05	$265.12	$288.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $256.75 / $256.75	Professional		$256.75	$256.75	$256.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.69 / $373.69 / $373.69	Facility		$373.69	$373.69	$373.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $312.91 / $1,044.58	Professional		$213.55	$312.91	$1,044.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.17 / $262.80 / $415.88	Professional		$185.17	$262.80	$415.88