Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.01 / $290.30 / $1,400.00	Facility		$183.01	$290.30	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $210.17 / $279.77	Professional		$183.01	$210.17	$279.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.99 / $224.82 / $244.94	Facility		$205.99	$224.82	$244.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $217.73 / $217.73	Professional		$111.72	$217.73	$217.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $240.66 / $512.44	Professional		$185.12	$240.66	$512.44
United Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $205.38 / $290.30	Professional		$134.75	$205.38	$290.30