Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $348.28 / $1,600.00	Facility		$154.44	$348.28	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $251.22 / $429.84	Professional		$154.44	$251.22	$429.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.11 / $194.54 / $211.96	Facility		$175.11	$194.54	$211.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $188.41 / $188.41	Professional		$188.41	$188.41	$188.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $280.77 / $280.77	Facility		$280.77	$280.77	$280.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $417.25 / $993.65	Professional		$188.41	$417.25	$993.65
United Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $434.66 / $818.18	Professional		$256.77	$434.66	$818.18