Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $244.72 / $1,400.00	Facility		$244.72	$244.72	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $256.07 / $284.58	Professional		$244.72	$256.07	$284.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.76 / $280.82 / $305.95	Facility		$244.76	$280.82	$305.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $271.97 / $271.97	Professional		$271.97	$271.97	$271.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $262.74 / $262.74	Facility		$262.74	$262.74	$262.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $361.11 / $1,067.97	Professional		$218.33	$361.11	$1,067.97
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $284.38 / $479.97	Professional		$197.83	$284.38	$479.97