Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $1,412.54	Facility		$91.20	$144.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $199.53	Professional		$87.10	$138.04	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Facility		$104.71	$104.71	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $741.31	Professional		$95.50	$173.78	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,949.84	Facility		$691.83	$691.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $263.03	Professional		$85.11	$147.91	$263.03