Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.80 / $279.04 / $1,400.00	Facility		$179.80	$279.04	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $179.80 / $248.75	Professional		$147.66	$179.80	$248.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.67 / $216.10 / $235.44	Facility		$191.67	$216.10	$235.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $209.28 / $209.28	Professional		$107.34	$209.28	$209.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $205.33 / $205.33	Facility		$205.33	$205.33	$205.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $240.00 / $450.14	Professional		$163.80	$240.00	$450.14
United Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $183.26 / $285.76	Professional		$135.01	$183.26	$285.76