Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $383.84 / $1,400.00	Facility		$246.23	$383.84	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.23 / $365.89 / $673.53	Professional		$246.23	$365.89	$673.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.52 / $297.25 / $323.87	Facility		$272.52	$297.25	$323.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $287.88 / $287.88	Professional		$213.09	$287.88	$287.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $439.03 / $1,178.84	Professional		$284.85	$439.03	$1,178.84
United Facility/Professional Professional Modifier Low / Median / High Price $318.61 / $448.54 / $637.22	Professional		$318.61	$448.54	$637.22