Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.26 / $214.26 / $1,700.00	Facility		$214.26	$214.26	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.26 / $229.26 / $258.47	Professional		$214.26	$229.26	$258.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.34 / $224.65 / $244.77	Facility		$204.34	$224.65	$244.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $217.57 / $217.57	Professional		$217.57	$217.57	$217.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $236.89 / $236.89	Facility		$236.89	$236.89	$236.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.45 / $313.45 / $1,456.11	Professional		$186.45	$313.45	$1,456.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.85 / $273.23 / $400.80	Professional		$169.85	$273.23	$400.80