Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $292.64 / $1,200.00	Facility		$162.60	$292.64	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $280.42 / $419.45	Professional		$162.60	$280.42	$419.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $197.29 / $214.95	Facility		$178.23	$197.29	$214.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $191.06 / $191.06	Professional		$169.07	$191.06	$191.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $302.57 / $779.19	Professional		$172.54	$302.57	$779.19
United Facility/Professional Professional Modifier Low / Median / High Price $203.71 / $273.79 / $439.46	Professional		$203.71	$273.79	$439.46