Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.20 / $347.34 / $1,400.00	Facility		$228.20	$347.34	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $253.71 / $281.67	Professional		$213.67	$253.71	$281.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.99 / $268.99 / $293.07	Facility		$268.99	$268.99	$293.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $260.51 / $260.51	Professional		$133.83	$260.51	$260.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $259.94 / $259.94	Facility		$259.94	$259.94	$259.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $303.93 / $673.59	Professional		$215.14	$303.93	$673.59
United Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $289.45 / $441.09	Professional		$187.33	$289.45	$441.09