Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $406.24 / $1,400.00	Facility		$157.93	$406.24	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $266.27 / $494.04	Professional		$151.97	$266.27	$494.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $186.01 / $202.66	Facility		$167.86	$186.01	$202.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $180.14 / $410.88	Professional		$180.14	$180.14	$410.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $269.16 / $269.16	Facility		$269.16	$269.16	$269.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $395.28 / $843.19	Professional		$176.53	$395.28	$843.19
United Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $445.68 / $707.39	Professional		$297.75	$445.68	$707.39