Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.54 / $440.10 / $1,400.00	Facility		$132.54	$440.10	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $215.44 / $554.34	Professional		$132.54	$215.44	$554.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $166.84 / $181.78	Facility		$148.74	$166.84	$181.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $161.58 / $161.58	Professional		$161.58	$161.58	$161.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $470.66 / $1,388.03	Professional		$161.57	$470.66	$1,388.03
United Facility/Professional Professional Modifier Low / Median / High Price $456.62 / $627.86 / $1,196.71	Professional		$456.62	$627.86	$1,196.71