Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.73 / $394.56 / $1,400.00	Facility		$253.73	$394.56	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $380.52 / $468.55	Professional		$247.52	$380.52	$468.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $305.56 / $332.91	Facility		$279.85	$305.56	$332.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $295.92 / $295.92	Professional		$219.85	$295.92	$295.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $448.74	Facility		$448.74	$448.74	$448.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $428.75 / $1,110.23	Professional		$274.56	$428.75	$1,110.23
United Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $434.73 / $606.04	Professional		$303.02	$434.73	$606.04