Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $322.56 / $1,600.00	Facility		$183.18	$322.56	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $221.97 / $341.23	Professional		$171.69	$221.97	$341.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $232.15 / $252.94	Facility		$208.18	$232.15	$252.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $224.83 / $224.83	Professional		$224.83	$224.83	$224.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.81 / $333.81 / $333.81	Facility		$333.81	$333.81	$333.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $398.26 / $915.17	Professional		$224.83	$398.26	$915.17
United Facility/Professional Professional Modifier Low / Median / High Price $249.18 / $342.63 / $604.48	Professional		$249.18	$342.63	$604.48