Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $1,584.89	Facility		$64.57	$123.03	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $194.98	Professional		$61.66	$117.49	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $104.71	Facility		$61.66	$75.86	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $269.15	Professional		$112.20	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $104.71	Facility		$34.67	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $616.60	Professional		$67.61	$144.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $229.09	Professional		$61.66	$120.23	$229.09