Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.82 / $218.82 / $1,400.00	Facility		$218.82	$218.82	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $227.49 / $252.84	Professional		$218.82	$227.49	$252.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $248.89 / $271.17	Facility		$216.92	$248.89	$271.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $241.04 / $241.04	Professional		$241.04	$241.04	$241.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.50 / $233.50 / $233.50	Facility		$233.50	$233.50	$233.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $321.13 / $944.82	Professional		$193.21	$321.13	$944.82
United Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $271.27 / $440.96	Professional		$176.26	$271.27	$440.96