Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.65 / $214.63 / $1,700.00	Facility		$154.65	$214.63	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $194.91 / $272.98	Professional		$148.69	$194.91	$272.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $168.82 / $200.69	Facility		$153.50	$168.82	$200.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $178.39 / $227.13	Professional		$123.07	$178.39	$227.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $270.70 / $270.70	Facility		$270.70	$270.70	$270.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $238.64 / $538.40	Professional		$164.16	$238.64	$538.40
United Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $217.51 / $340.98	Professional		$154.16	$217.51	$340.98