Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.06 / $246.83 / $1,400.00	Facility		$182.06	$246.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $222.53 / $310.64	Professional		$172.79	$222.53	$310.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.84 / $197.69 / $237.74	Facility		$181.84	$197.69	$237.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $211.32 / $260.83	Professional		$141.38	$211.32	$260.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $317.00 / $317.00	Facility		$317.00	$317.00	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $279.32 / $645.41	Professional		$190.21	$279.32	$645.41
United Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $269.58 / $418.61	Professional		$185.30	$269.58	$418.61