Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.89 / $1,498.00 / $21,280.48	Facility		$314.89	$1,498.00	$21,280.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $389.31 / $449.10	Facility		$285.39	$389.31	$449.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.36 / $342.36 / $342.36	Facility		$342.36	$342.36	$342.36
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $30,109.00	Facility		$59.00	$668.00	$30,109.00