Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $239.63 / $1,200.00	Facility		$154.47	$239.63	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $237.91 / $361.23	Professional		$154.47	$237.91	$361.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.65 / $168.58 / $202.19	Facility		$154.65	$168.58	$202.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $179.72 / $179.72	Professional		$137.21	$179.72	$179.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $270.31 / $270.31	Facility		$270.31	$270.31	$270.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $267.39 / $661.52	Professional		$167.14	$267.39	$661.52
United Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $234.16 / $366.10	Professional		$177.66	$234.16	$366.10