Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $264.02 / $1,200.00	Facility		$166.80	$264.02	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $185.40 / $264.02	Professional		$160.13	$185.40	$264.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.46 / $204.46 / $222.76	Facility		$204.46	$204.46	$222.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $198.01 / $198.01	Professional		$111.92	$198.01	$198.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $261.23 / $536.24	Professional		$177.68	$261.23	$536.24
United Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $224.74 / $302.16	Professional		$148.88	$224.74	$302.16