Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $298.89 / $1,400.00	Facility		$178.05	$298.89	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $223.54 / $388.87	Professional		$129.04	$223.54	$388.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.27 / $207.85 / $226.45	Facility		$190.27	$207.85	$226.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $201.29 / $310.87	Professional		$168.47	$201.29	$310.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $305.08 / $305.08	Facility		$305.08	$305.08	$305.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $285.64 / $520.03	Professional		$171.71	$285.64	$520.03
United Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $237.99 / $419.34	Professional		$161.49	$237.99	$419.34