Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.19 / $334.84 / $1,400.00	Facility		$194.19	$334.84	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $260.92 / $415.14	Professional		$184.61	$260.92	$415.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.72 / $213.13 / $257.19	Facility		$196.72	$213.13	$257.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $228.61 / $358.59	Professional		$194.37	$228.61	$358.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $341.74 / $341.74	Facility		$341.74	$341.74	$341.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $336.95 / $766.42	Professional		$199.82	$336.95	$766.42
United Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $340.27 / $544.40	Professional		$243.05	$340.27	$544.40