Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $269.06 / $1,400.00	Facility		$165.73	$269.06	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $255.50 / $339.06	Professional		$165.73	$255.50	$339.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.28 / $205.49 / $223.88	Facility		$184.28	$205.49	$223.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $199.01 / $199.01	Professional		$171.27	$199.01	$199.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $283.86 / $587.89	Professional		$175.11	$283.86	$587.89
United Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $261.37 / $445.12	Professional		$189.49	$261.37	$445.12