Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $234.85 / $1,400.00	Facility		$137.46	$234.85	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $223.70 / $387.77	Professional		$137.46	$223.70	$387.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $169.67 / $184.86	Facility		$152.47	$169.67	$184.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $164.32 / $164.32	Professional		$149.56	$164.32	$164.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $244.48 / $244.48	Facility		$244.48	$244.48	$244.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $268.77 / $599.91	Professional		$144.83	$268.77	$599.91
United Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $269.20 / $388.62	Professional		$176.13	$269.20	$388.62