Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $384.96 / $1,600.00	Facility		$246.80	$384.96	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $287.85 / $544.28	Professional		$246.80	$287.85	$544.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.79 / $298.13 / $324.81	Facility		$270.79	$298.13	$324.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $288.72 / $288.72	Professional		$148.16	$288.72	$288.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $293.49	Facility		$293.49	$293.49	$293.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.89 / $367.99 / $720.30	Professional		$249.89	$367.99	$720.30
United Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $298.30 / $413.66	Professional		$200.03	$298.30	$413.66