Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.28 / $193.28 / $1,400.00	Facility		$193.28	$193.28	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $200.86 / $224.86	Professional		$193.28	$200.86	$224.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.88 / $221.27 / $241.07	Facility		$192.88	$221.27	$241.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $214.28 / $214.28	Professional		$214.28	$214.28	$214.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Facility		$206.17	$206.17	$206.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $282.82 / $841.91	Professional		$172.12	$282.82	$841.91
United Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $267.41 / $540.74	Professional		$156.01	$267.41	$540.74