Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $166.74 / $1,400.00	Facility		$166.74	$166.74	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $176.55 / $193.56	Professional		$166.74	$176.55	$193.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $193.03 / $210.32	Facility		$193.03	$193.03	$210.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.95 / $186.95 / $186.95	Professional		$186.95	$186.95	$186.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $181.09 / $181.09	Facility		$181.09	$181.09	$181.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $248.30 / $737.46	Professional		$150.87	$248.30	$737.46
United Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $219.26 / $301.49	Professional		$137.47	$219.26	$301.49