Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.12 / $246.12 / $1,400.00	Facility		$246.12	$246.12	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $246.12 / $292.63	Professional		$221.08	$246.12	$292.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.54 / $256.64 / $313.17	Facility		$239.54	$256.64	$313.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.38 / $278.38 / $278.38	Professional		$278.38	$278.38	$278.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $325.56 / $666.97	Professional		$228.17	$325.56	$666.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $271.36 / $399.78	Professional		$187.40	$271.36	$399.78