Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.98 / $412.51 / $1,400.00	Facility		$272.98	$412.51	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $301.35 / $359.85	Professional		$255.11	$301.35	$359.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $319.45 / $348.06	Facility		$288.08	$319.45	$348.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $309.38 / $309.38	Professional		$158.71	$309.38	$309.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $308.95 / $308.95	Facility		$308.95	$308.95	$308.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.45 / $360.94 / $799.26	Professional		$255.45	$360.94	$799.26
United Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $342.73 / $508.71	Professional		$223.15	$342.73	$508.71