Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $304.89 / $1,400.00	Facility		$172.47	$304.89	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $293.20 / $522.49	Professional		$172.47	$293.20	$522.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.65 / $210.96 / $229.85	Facility		$193.65	$210.96	$229.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $204.31 / $204.31	Professional		$178.43	$204.31	$204.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $347.85 / $869.96	Professional		$188.41	$347.85	$869.96
United Facility/Professional Professional Modifier Low / Median / High Price $253.73 / $420.15 / $630.17	Professional		$253.73	$420.15	$630.17