Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $1,584.89	Facility		$169.82	$169.82	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $275.42	Professional		$151.36	$173.78	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Facility		$190.55	$190.55	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,659.59	Facility		$302.00	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $1,174.90	Professional		$165.96	$281.84	$1,174.90
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 $144.54 / $208.93 / $309.03	Professional		$144.54	$208.93	$309.03