Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $263.29 / $1,400.00	Facility		$159.96	$263.29	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $250.31 / $377.03	Professional		$159.96	$250.31	$377.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.59 / $197.62 / $215.30	Facility		$177.59	$197.62	$215.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $191.38 / $191.38	Professional		$167.48	$191.38	$191.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $300.93 / $714.60	Professional		$169.19	$300.93	$714.60
United Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $299.27 / $446.97	Professional		$199.51	$299.27	$446.97