Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $214.88 / $1,600.00	Facility		$142.30	$214.88	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $203.38 / $246.16	Professional		$142.30	$203.38	$246.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $177.90 / $193.82	Facility		$161.96	$177.90	$193.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $172.28 / $172.28	Professional		$172.28	$172.28	$172.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Facility		$259.70	$259.70	$259.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.25 / $583.94	Professional		$144.54	$229.25	$583.94
United Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $253.40 / $352.86	Professional		$177.36	$253.40	$352.86