Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $1,700.00	Facility		$243.71	$243.71	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $260.14 / $294.16	Professional		$243.71	$260.14	$294.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.41 / $283.27 / $308.64	Facility		$248.41	$283.27	$308.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $274.33 / $274.33	Professional		$274.33	$274.33	$274.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.29 / $266.29 / $266.29	Facility		$266.29	$266.29	$266.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $363.57 / $1,571.80	Professional		$224.66	$363.57	$1,571.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.21 / $313.38 / $466.22	Professional		$194.21	$313.38	$466.22