Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $299.13 / $1,600.00	Facility		$141.57	$299.13	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $258.48 / $313.76	Professional		$141.57	$258.48	$313.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $167.87 / $182.90	Facility		$154.04	$167.87	$182.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $162.58 / $162.58	Professional		$162.58	$162.58	$162.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $247.00 / $247.00	Facility		$247.00	$247.00	$247.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $305.94 / $707.82	Professional		$162.58	$305.94	$707.82
United Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $293.95 / $466.26	Professional		$207.08	$293.95	$466.26