Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $3,329.01 / $3,329.01	Facility		$251.10	$3,329.01	$3,329.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $149.34 / $269.88	Professional		$115.59	$149.34	$269.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $140.68 / $153.27	Facility		$128.13	$140.68	$153.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $136.24 / $136.24	Professional		$136.24	$136.24	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $205.45 / $205.45	Facility		$205.45	$205.45	$205.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $257.68 / $585.07	Professional		$136.24	$257.68	$585.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $256.01 / $443.51	Professional		$173.11	$256.01	$443.51