Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $237.50 / $1,400.00	Facility		$140.41	$237.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $350.45 / $549.51	Professional		$140.41	$350.45	$549.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $165.41 / $180.23	Facility		$150.10	$165.41	$180.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $160.19 / $160.19	Professional		$135.02	$160.19	$160.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $408.36 / $947.54	Professional		$160.19	$408.36	$947.54
United Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $528.52 / $1,088.58	Professional		$308.95	$528.52	$1,088.58