Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $1,412.54	Facility		$208.93	$407.38	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $660.69	Professional		$208.93	$363.08	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,318.26	Facility		$407.38	$407.38	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $2,238.72	Professional		$234.42	$467.74	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,454.71	Facility		$691.83	$691.83	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $691.83	Professional		$186.21	$338.84	$691.83