Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.47 / $261.47 / $1,600.00	Facility		$261.47	$261.47	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $274.66 / $316.20	Professional		$244.51	$274.66	$316.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.27 / $325.89 / $355.06	Facility		$293.27	$325.89	$355.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.61 / $315.61 / $315.61	Professional		$315.61	$315.61	$315.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.87 / $313.87 / $313.87	Facility		$313.87	$313.87	$313.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $398.66 / $1,648.92	Professional		$267.20	$398.66	$1,648.92
United Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $358.59 / $492.94	Professional		$227.80	$358.59	$492.94