Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.15 / $251.15 / $1,400.00	Facility		$251.15	$251.15	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $251.15 / $299.27	Professional		$220.84	$251.15	$299.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.81 / $296.75 / $323.31	Facility		$257.81	$296.75	$323.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $287.39 / $287.39	Professional		$147.36	$287.39	$287.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $276.41	Facility		$276.41	$276.41	$276.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $344.13 / $708.20	Professional		$229.01	$344.13	$708.20
United Facility/Professional Professional Modifier Low / Median / High Price $194.39 / $284.10 / $431.96	Professional		$194.39	$284.10	$431.96