Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $301.55 / $1,200.00	Facility		$186.76	$301.55	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $226.70 / $270.64	Professional		$186.76	$226.70	$270.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $233.53 / $254.43	Facility		$212.64	$233.53	$254.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $226.16 / $226.16	Professional		$136.61	$226.16	$226.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $263.86 / $570.92	Professional		$194.64	$263.86	$570.92
United Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $206.35 / $365.41	Professional		$148.47	$206.35	$365.41