Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $691.20 / $691.20	Facility		$392.00	$691.20	$691.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $691.20	Professional		$30.00	$50.00	$691.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $142.03 / $340.87	Facility		$36.52	$142.03	$340.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $267.83 / $632.40	Professional		$79.23	$267.83	$632.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $420.00 / $602.00	Professional		$294.00	$420.00	$602.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $55.13 / $75.00	Professional		$37.00	$55.13	$75.00