Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $1,412.54	Facility		$120.23	$120.23	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $194.98	Professional		$107.15	$120.23	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $173.78	Facility		$134.90	$134.90	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $758.58	Professional		$112.20	$181.97	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78