Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.07 / $428.46 / $1,600.00	Facility		$276.07	$428.46	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $278.35 / $353.71	Professional		$269.05	$278.35	$353.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $331.81 / $361.52	Facility		$296.73	$331.81	$361.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $321.35 / $321.35	Professional		$164.89	$321.35	$321.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $315.85 / $315.85	Facility		$315.85	$315.85	$315.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.93 / $401.69 / $869.77	Professional		$260.93	$401.69	$869.77
United Facility/Professional Professional Modifier Low / Median / High Price $228.38 / $356.85 / $577.01	Professional		$228.38	$356.85	$577.01