Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.21 / $327.72 / $1,400.00	Facility		$193.21	$327.72	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $308.08 / $457.02	Professional		$193.21	$308.08	$457.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.06 / $240.37 / $261.89	Facility		$210.06	$240.37	$261.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.50 / $232.79 / $232.79	Professional		$208.50	$232.79	$232.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Facility		$336.83	$336.83	$336.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $339.49 / $835.65	Professional		$194.80	$339.49	$835.65
United Facility/Professional Facility Modifier Low / Median / High Price $744.60 / $744.60 / $744.60	Facility		$744.60	$744.60	$744.60
United Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $312.68 / $539.07	Professional		$224.05	$312.68	$539.07