Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.62 / $1,200.00 / $1,657.12	Facility		$168.62	$1,200.00	$1,657.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $275.18 / $2,157.82	Professional		$168.62	$275.18	$2,157.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.97 / $213.11 / $232.19	Facility		$189.97	$213.11	$232.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $206.39 / $206.39	Professional		$206.39	$206.39	$206.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.61 / $304.61 / $304.61	Facility		$304.61	$304.61	$304.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $818.53 / $4,341.35	Professional		$206.39	$818.53	$4,341.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.50 / $2,377.38 / $3,309.29	Professional		$1,358.50	$2,377.38	$3,309.29