Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.63 / $536.00 / $1,400.00	Facility		$180.63	$536.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $275.93 / $656.35	Professional		$178.71	$275.93	$656.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.02 / $212.83 / $231.88	Facility		$192.02	$212.83	$231.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $206.11 / $534.91	Professional		$206.11	$206.11	$534.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $307.91 / $307.91	Facility		$307.91	$307.91	$307.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $526.17 / $1,257.61	Professional		$187.86	$526.17	$1,257.61
United Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $697.88 / $1,414.16	Professional		$410.94	$697.88	$1,414.16