Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $194.98	Facility		$60.26	$104.71	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,548.82	Facility		$257.04	$257.04	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $758.58	Professional		$123.03	$213.80	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $316.23	Professional		$104.71	$154.88	$316.23