Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $223.87	Professional		$107.15	$123.03	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $151.36	Facility		$57.54	$72.44	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $6,165.95	Facility		$199.53	$199.53	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $275.42 / $2,344.23	Professional		$97.72	$275.42	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $724.44	Professional		$117.49	$245.47	$724.44