Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $173.46 / $1,600.00	Facility		$173.46	$173.46	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $171.12 / $173.46	Professional		$151.91	$171.12	$173.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $214.50 / $233.70	Facility		$178.75	$214.50	$233.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $207.73 / $207.73	Professional		$207.73	$207.73	$207.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $200.30 / $200.30	Facility		$200.30	$200.30	$200.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $225.69 / $497.00	Professional		$164.59	$225.69	$497.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $276.98 / $523.14	Professional		$158.12	$276.98	$523.14