Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.62 / $209.62 / $1,400.00	Facility		$209.62	$209.62	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $209.62 / $307.82	Professional		$196.22	$209.62	$307.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.01 / $247.49 / $269.64	Facility		$223.01	$247.49	$269.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $239.69 / $239.69	Professional		$123.07	$239.69	$239.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $238.55 / $238.55	Facility		$238.55	$238.55	$238.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $292.92 / $599.72	Professional		$202.11	$292.92	$599.72
United Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $263.17 / $529.03	Professional		$171.94	$263.17	$529.03