Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.10 / $442.64 / $1,400.00	Facility		$289.10	$442.64	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $366.16 / $549.53	Professional		$277.51	$366.16	$549.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $349.72 / $381.02	Facility		$318.51	$349.72	$381.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.29 / $338.69 / $474.80	Professional		$257.29	$338.69	$474.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.73 / $510.73 / $510.73	Facility		$510.73	$510.73	$510.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $444.86 / $956.09	Professional		$296.05	$444.86	$956.09
United Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $399.59 / $668.85	Professional		$298.58	$399.59	$668.85