Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $724.44 / $1,621.81	Facility		$218.78	$724.44	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $22.91	Professional		$14.13	$16.98	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $33.88	Facility		$21.38	$25.70	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $47.86	Professional		$19.05	$31.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $151.36	Professional		$60.26	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.38 / $42.66	Professional		$10.47	$21.38	$42.66