Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.85 / $368.24 / $1,200.00	Facility		$228.85	$368.24	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.85 / $262.52 / $348.27	Professional		$228.85	$262.52	$348.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $285.18 / $310.70	Facility		$259.14	$285.18	$310.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $276.18 / $276.18	Professional		$142.59	$276.18	$276.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $301.56 / $639.71	Professional		$233.80	$301.56	$639.71
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $278.45 / $370.48	Professional		$163.34	$278.45	$370.48