Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.77 / $196.77 / $1,700.00	Facility		$196.77	$196.77	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $194.44 / $225.00	Professional		$175.61	$194.44	$225.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.89 / $197.89 / $239.80	Facility		$197.89	$197.89	$239.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $213.16 / $213.16	Professional		$213.16	$213.16	$213.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $214.45 / $214.45	Facility		$214.45	$214.45	$214.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $286.82 / $868.42	Professional		$180.47	$286.82	$868.42
United Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $248.52 / $402.12	Professional		$161.75	$248.52	$402.12