Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $271.13 / $1,600.00	Facility		$190.75	$271.13	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.75 / $264.14 / $342.43	Professional		$190.75	$264.14	$342.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $210.69 / $250.86	Facility		$191.87	$210.69	$250.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $222.98 / $222.98	Professional		$222.98	$222.98	$222.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.84 / $337.84 / $337.84	Facility		$337.84	$337.84	$337.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $360.85 / $946.36	Professional		$219.09	$360.85	$946.36
United Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $308.55 / $511.21	Professional		$224.40	$308.55	$511.21