Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $177.73 / $1,400.00	Facility		$94.96	$177.73	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $155.37 / $307.27	Professional		$94.96	$155.37	$307.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $108.54 / $118.26	Facility		$99.42	$108.54	$118.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $164.85 / $207.79	Professional		$105.12	$164.85	$207.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $159.41 / $159.41	Facility		$159.41	$159.41	$159.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $171.18 / $445.90	Professional		$92.70	$171.18	$445.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,540.83 / $6,540.83 / $6,540.83	Facility		$6,540.83	$6,540.83	$6,540.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $185.10 / $330.51	Professional		$125.85	$185.10	$330.51