Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.26 / $400.31 / $1,400.00	Facility		$272.26	$400.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $353.28 / $497.05	Professional		$267.43	$353.28	$497.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.37 / $301.70 / $360.02	Facility		$275.37	$301.70	$360.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $320.02 / $430.85	Professional		$233.59	$320.02	$430.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.77 / $483.77 / $483.77	Facility		$483.77	$483.77	$483.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $442.47 / $1,059.20	Professional		$297.77	$442.47	$1,059.20
United Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $428.74 / $655.82	Professional		$303.45	$428.74	$655.82