Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.09 / $344.38 / $1,400.00	Facility		$226.09	$344.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $251.08 / $279.14	Professional		$211.77	$251.08	$279.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.41 / $266.70 / $290.57	Facility		$240.41	$266.70	$290.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $258.29 / $258.29	Professional		$132.63	$258.29	$258.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $257.64 / $257.64	Facility		$257.64	$257.64	$257.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $301.33 / $666.72	Professional		$213.25	$301.33	$666.72
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $286.86 / $449.98	Professional		$182.18	$286.86	$449.98