Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.09 / $338.14 / $1,400.00	Facility		$219.09	$338.14	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $275.29 / $413.76	Professional		$205.66	$275.29	$413.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $235.49 / $285.69	Facility		$218.51	$235.49	$285.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $253.94 / $363.24	Professional		$196.76	$253.94	$363.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.60 / $377.60 / $377.60	Facility		$377.60	$377.60	$377.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $360.90 / $823.67	Professional		$235.72	$360.90	$823.67
United Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $349.86 / $539.46	Professional		$247.62	$349.86	$539.46