Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,412.54	Facility		$229.09	$229.09	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $380.19	Professional		$213.80	$234.42	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $323.59	Facility		$263.03	$263.03	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,659.59	Facility		$416.87	$416.87	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,584.89	Professional		$234.42	$389.05	$1,584.89
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 $204.17 / $295.12 / $426.58	Professional		$204.17	$295.12	$426.58