Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $290.00 / $1,400.00	Facility		$180.74	$290.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $274.99 / $393.30	Professional		$180.74	$274.99	$393.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $221.77 / $241.62	Facility		$199.17	$221.77	$241.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $214.78 / $214.78	Professional		$183.41	$214.78	$214.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $324.54 / $634.36	Professional		$189.50	$324.54	$634.36
United Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $316.73 / $476.42	Professional		$217.04	$316.73	$476.42