Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.22 / $312.38 / $1,400.00	Facility		$212.22	$312.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.22 / $304.64 / $391.38	Professional		$212.22	$304.64	$391.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.09 / $236.35 / $281.20	Facility		$215.09	$236.35	$281.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $249.96 / $336.36	Professional		$182.41	$249.96	$336.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $378.98 / $378.98	Facility		$378.98	$378.98	$378.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $359.41 / $916.57	Professional		$236.84	$359.41	$916.57
United Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $377.97 / $591.09	Professional		$254.53	$377.97	$591.09