Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.53 / $324.77 / $1,400.00	Facility		$204.53	$324.77	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $305.05 / $358.80	Professional		$195.39	$305.05	$358.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $220.56 / $268.22	Facility		$205.15	$220.56	$268.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.42 / $238.42 / $238.42	Professional		$238.42	$238.42	$238.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.67 / $353.67 / $353.67	Facility		$353.67	$353.67	$353.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $362.55 / $1,000.92	Professional		$229.99	$362.55	$1,000.92
United Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $350.38 / $570.25	Professional		$233.20	$350.38	$570.25