Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.69 / $2,057.03 / $2,057.03	Facility		$298.69	$2,057.03	$2,057.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $298.51 / $352.86	Professional		$144.66	$298.51	$352.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $162.69 / $177.27	Facility		$142.69	$162.69	$177.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Professional		$157.57	$157.57	$157.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.82 / $228.82 / $228.82	Facility		$228.82	$228.82	$228.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $375.50 / $661.78	Professional		$183.83	$375.50	$661.78
United Facility/Professional Professional Modifier Low / Median / High Price $246.41 / $429.14 / $690.97	Professional		$246.41	$429.14	$690.97