Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $317.70 / $1,400.00	Facility		$207.04	$317.70	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $285.45 / $388.31	Professional		$200.53	$285.45	$388.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.41 / $226.15 / $269.87	Facility		$206.41	$226.15	$269.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.42 / $239.88 / $334.73	Professional		$181.42	$239.88	$334.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $362.63 / $362.63	Facility		$362.63	$362.63	$362.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $345.61 / $859.08	Professional		$226.37	$345.61	$859.08
United Facility/Professional Professional Modifier Low / Median / High Price $248.36 / $342.31 / $531.11	Professional		$248.36	$342.31	$531.11