Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.98 / $323.35 / $1,600.00	Facility		$254.98	$323.35	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $304.39 / $397.97	Professional		$245.50	$304.39	$397.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.79 / $272.98 / $329.20	Facility		$251.79	$272.98	$329.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $292.62 / $342.21	Professional		$185.60	$292.62	$342.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $437.72 / $437.72	Facility		$437.72	$437.72	$437.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $386.90 / $858.33	Professional		$256.08	$386.90	$858.33
United Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $350.65 / $521.76	Professional		$252.37	$350.65	$521.76