Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $117.92 / $117.92	Facility		$117.92	$117.92	$117.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $122.85 / $135.05	Professional		$117.92	$122.85	$135.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $84.35 / $152.85	Facility		$62.87	$84.35	$152.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $60.89 / $60.89	Professional		$60.89	$60.89	$60.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $6,226.64	Facility		$143.54	$143.54	$6,226.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $286.30 / $2,253.04	Professional		$103.33	$286.30	$2,253.04
United Facility/Professional Facility Modifier Low / Median / High Price $8,824.53 / $8,824.53 / $8,824.53	Facility		$8,824.53	$8,824.53	$8,824.53
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $217.41 / $684.93	Professional		$116.57	$217.41	$684.93