Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $171.56 / $1,400.00	Facility		$171.56	$171.56	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $176.87 / $193.91	Professional		$171.56	$176.87	$193.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $196.33 / $213.91	Facility		$169.34	$196.33	$213.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $190.14 / $190.14	Professional		$190.14	$190.14	$190.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $181.54 / $181.54	Facility		$181.54	$181.54	$181.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $251.85 / $1,092.55	Professional		$149.10	$251.85	$1,092.55
United Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $225.16 / $332.31	Professional		$138.47	$225.16	$332.31