Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.65 / $285.04 / $1,600.00	Facility		$143.65	$285.04	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $226.45 / $336.03	Professional		$143.65	$226.45	$336.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $175.36 / $191.05	Facility		$157.74	$175.36	$191.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $252.93 / $252.93	Facility		$252.93	$252.93	$252.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $357.37 / $726.28	Professional		$169.83	$357.37	$726.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.42 / $388.91 / $480.68	Professional		$226.42	$388.91	$480.68