Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $190.11 / $1,400.00	Facility		$114.41	$190.11	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $191.72 / $302.30	Professional		$114.41	$191.72	$302.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $160.41 / $220.84	Facility		$134.01	$160.41	$220.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $142.58 / $142.58	Professional		$107.53	$142.58	$142.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $209.50 / $489.13	Professional		$133.07	$209.50	$489.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,496.08 / $2,496.08 / $2,496.08	Facility		$2,496.08	$2,496.08	$2,496.08
United Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $218.02 / $306.13	Professional		$146.57	$218.02	$306.13