Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $1,400.00 / $1,700.00	Facility		$139.58	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $293.27 / $2,159.10	Professional		$139.58	$293.27	$2,159.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.25 / $169.55 / $184.72	Facility		$152.25	$169.55	$184.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $164.20 / $164.20	Professional		$164.20	$164.20	$164.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.13 / $244.13 / $244.13	Facility		$244.13	$244.13	$244.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $673.55 / $5,213.33	Professional		$164.20	$673.55	$5,213.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,328.26 / $4,127.81 / $8,592.04	Professional		$1,328.26	$4,127.81	$8,592.04