Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $197.35 / $1,400.00	Facility		$197.35	$197.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.35 / $201.27 / $258.51	Professional		$197.35	$201.27	$258.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $231.49 / $252.21	Facility		$212.04	$231.49	$252.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $224.18 / $224.18	Professional		$224.18	$224.18	$224.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.88 / $234.88 / $234.88	Facility		$234.88	$234.88	$234.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $280.23 / $969.78	Professional		$201.92	$280.23	$969.78
United Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $271.18 / $324.05	Professional		$154.96	$271.18	$324.05