Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.50 / $275.66 / $1,400.00	Facility		$174.50	$275.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.50 / $256.95 / $401.44	Professional		$174.50	$256.95	$401.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.36 / $213.48 / $232.59	Facility		$191.36	$213.48	$232.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $206.75 / $206.75	Professional		$171.46	$206.75	$206.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $301.50 / $747.19	Professional		$182.94	$301.50	$747.19
United Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $296.05 / $458.61	Professional		$190.61	$296.05	$458.61