Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $251.12 / $1,400.00	Facility		$154.02	$251.12	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $244.69 / $328.83	Professional		$154.02	$244.69	$328.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $189.49 / $206.46	Facility		$170.14	$189.49	$206.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $183.52 / $183.52	Professional		$159.11	$183.52	$183.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $272.82	Facility		$272.82	$272.82	$272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $286.57 / $610.96	Professional		$162.38	$286.57	$610.96
United Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $292.32 / $413.76	Professional		$188.53	$292.32	$413.76