Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $392.18 / $1,400.00	Facility		$207.15	$392.18	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $350.42 / $475.87	Professional		$200.57	$350.42	$475.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.82 / $245.15 / $267.08	Facility		$220.82	$245.15	$267.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $237.41 / $407.45	Professional		$220.85	$237.41	$407.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $354.09 / $354.09	Facility		$354.09	$354.09	$354.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.45 / $422.13 / $972.87	Professional		$220.45	$422.13	$972.87
United Facility/Professional Professional Modifier Low / Median / High Price $297.56 / $494.82 / $988.30	Professional		$297.56	$494.82	$988.30