Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.42 / $187.42 / $1,400.00	Facility		$187.42	$187.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $196.06 / $216.62	Professional		$176.56	$196.06	$216.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.32 / $230.90 / $253.75	Facility		$169.32	$230.90	$253.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.72 / $225.55 / $72,899.27	Professional		$184.72	$225.55	$72,899.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.18 / $281.85 / $932.33	Professional		$192.18	$281.85	$932.33
United Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $201.39 / $346.12	Professional		$120.83	$201.39	$346.12