Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.90 / $212.31 / $1,400.00	Facility		$128.90	$212.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $181.84 / $287.04	Professional		$116.30	$181.84	$287.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $148.76 / $162.08	Facility		$136.41	$148.76	$162.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $200.86 / $253.62	Professional		$144.07	$200.86	$253.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.74 / $218.74 / $218.74	Facility		$218.74	$218.74	$218.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $207.17 / $614.30	Professional		$130.34	$207.17	$614.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $229.69 / $402.67	Professional		$160.07	$229.69	$402.67