Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $864.00 / $864.00	Facility		$490.00	$864.00	$864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $864.00	Professional		$30.00	$50.00	$864.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $182.61 / $426.10	Facility		$45.65	$182.61	$426.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $334.79 / $790.50	Professional		$101.45	$334.79	$790.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $774.00	Professional		$378.00	$540.00	$774.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $56.00 / $73.00	Professional		$45.00	$56.00	$73.00