Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.93 / $759.43 / $1,600.00	Facility		$201.93	$759.43	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $347.54 / $997.41	Professional		$197.04	$347.54	$997.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.12 / $238.94 / $260.33	Facility		$217.12	$238.94	$260.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $231.41 / $744.12	Professional		$231.41	$231.41	$744.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $348.15 / $348.15	Facility		$348.15	$348.15	$348.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.91 / $612.27 / $1,717.09	Professional		$214.91	$612.27	$1,717.09
United Facility/Professional Professional Modifier Low / Median / High Price $643.13 / $1,048.22 / $1,881.45	Professional		$643.13	$1,048.22	$1,881.45