Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.78 / $312.07 / $1,600.00	Facility		$186.78	$312.07	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $270.25 / $357.49	Professional		$186.78	$270.25	$357.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $232.63 / $253.45	Facility		$210.83	$232.63	$253.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.29 / $225.29 / $225.29	Professional		$225.29	$225.29	$225.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $338.06 / $338.06	Facility		$338.06	$338.06	$338.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $354.61 / $851.77	Professional		$204.44	$354.61	$851.77
United Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $374.39 / $488.06	Professional		$256.83	$374.39	$488.06