Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $177.85 / $1,400.00	Facility		$177.85	$177.85	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $177.85 / $272.60	Professional		$160.05	$177.85	$272.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $177.22 / $231.70	Facility		$177.22	$177.22	$231.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $205.96 / $205.96	Professional		$205.96	$205.96	$205.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $207.41 / $207.41	Facility		$207.41	$207.41	$207.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $257.92 / $852.85	Professional		$173.33	$257.92	$852.85
United Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $286.16 / $481.79	Professional		$140.58	$286.16	$481.79