Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $252.19 / $1,400.00	Facility		$155.21	$252.19	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $196.48 / $290.80	Professional		$155.21	$196.48	$290.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $195.31 / $212.79	Facility		$178.45	$195.31	$212.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $189.14 / $189.14	Professional		$121.48	$189.14	$189.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Facility		$286.14	$286.14	$286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $237.00 / $515.91	Professional		$170.38	$237.00	$515.91
United Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $203.48 / $316.00	Professional		$136.56	$203.48	$316.00