Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $218.78 / $2,570.40	Facility		$199.53	$218.78	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $870.96	Professional		$177.83	$229.09	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $288.40	Facility		$234.42	$234.42	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $2,290.87	Facility		$371.54	$371.54	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $1,698.24	Professional		$194.98	$302.00	$1,698.24
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 $165.96 / $245.47 / $380.19	Professional		$165.96	$245.47	$380.19