Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.43 / $349.30 / $1,200.00	Facility		$217.43	$349.30	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.43 / $254.66 / $389.78	Professional		$217.43	$254.66	$389.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.67 / $270.50 / $294.72	Facility		$246.67	$270.50	$294.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.15 / $261.97 / $261.97	Professional		$151.15	$261.97	$261.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $345.31 / $702.99	Professional		$231.85	$345.31	$702.99
United Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $299.97 / $425.50	Professional		$198.95	$299.97	$425.50