Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.60 / $328.53 / $1,400.00	Facility		$214.60	$328.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $214.60 / $259.98	Professional		$173.85	$214.60	$259.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $254.41 / $277.20	Facility		$225.28	$254.41	$277.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $246.40 / $246.40	Professional		$126.25	$246.40	$246.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $240.68 / $240.68	Facility		$240.68	$240.68	$240.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $281.01 / $558.91	Professional		$196.26	$281.01	$558.91
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $215.61 / $329.33	Professional		$157.43	$215.61	$329.33