Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $251.37 / $1,400.00	Facility		$174.29	$251.37	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $219.36 / $302.89	Professional		$163.34	$219.36	$302.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $188.83 / $226.81	Facility		$173.48	$188.83	$226.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $201.61 / $264.94	Professional		$143.59	$201.61	$264.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $302.79 / $302.79	Facility		$302.79	$302.79	$302.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $271.08 / $655.32	Professional		$184.26	$271.08	$655.32
United Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $267.27 / $408.50	Professional		$191.93	$267.27	$408.50