Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $357.23 / $3,550.00	Facility		$208.18	$357.23	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $271.20 / $443.14	Professional		$198.87	$271.20	$443.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.33 / $252.00 / $274.56	Facility		$229.33	$252.00	$274.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $244.06 / $374.78	Professional		$203.13	$244.06	$374.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $367.72 / $367.72	Facility		$367.72	$367.72	$367.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $352.12 / $802.61	Professional		$225.49	$352.12	$802.61
United Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $354.44 / $548.86	Professional		$251.33	$354.44	$548.86