Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $489.57 / $1,600.00	Facility		$174.74	$489.57	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $274.45 / $563.60	Professional		$171.87	$274.45	$563.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.09 / $212.56 / $231.58	Facility		$191.09	$212.56	$231.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $205.85 / $205.85	Professional		$205.85	$205.85	$205.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $306.42 / $306.42	Facility		$306.42	$306.42	$306.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $498.46 / $1,237.47	Professional		$205.85	$498.46	$1,237.47
United Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $580.29 / $930.23	Professional		$382.36	$580.29	$930.23