Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.35 / $326.64 / $1,600.00	Facility		$218.35	$326.64	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $290.08 / $355.85	Professional		$203.66	$290.08	$355.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $265.97 / $289.77	Facility		$236.34	$265.97	$289.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $257.58 / $257.58	Professional		$257.58	$257.58	$257.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $378.97 / $378.97	Facility		$378.97	$378.97	$378.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $339.06 / $831.98	Professional		$214.65	$339.06	$831.98
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $398.40 / $565.66	Professional		$266.63	$398.40	$565.66