Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.58 / $423.25 / $2,600.00	Facility		$275.58	$423.25	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $289.02 / $419.49	Professional		$275.58	$289.02	$419.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $327.78 / $357.12	Facility		$289.82	$327.78	$357.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $317.44 / $317.44	Professional		$162.90	$317.44	$317.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Facility		$310.14	$310.14	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.92 / $419.97 / $826.36	Professional		$262.92	$419.97	$826.36
United Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $363.77 / $497.36	Professional		$228.69	$363.77	$497.36