Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.90 / $299.05 / $1,600.00	Facility		$177.90	$299.05	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $223.09 / $370.21	Professional		$167.19	$223.09	$370.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.92 / $192.57 / $233.93	Facility		$178.92	$192.57	$233.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $207.94 / $314.94	Professional		$170.87	$207.94	$314.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $308.79 / $308.79	Facility		$308.79	$308.79	$308.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.58 / $301.00 / $754.93	Professional		$189.58	$301.00	$754.93
United Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $278.58 / $443.65	Professional		$190.65	$278.58	$443.65