Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.63 / $251.63 / $1,700.00	Facility		$251.63	$251.63	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.51 / $262.70 / $303.27	Professional		$234.51	$262.70	$303.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.44 / $312.25 / $340.20	Facility		$280.44	$312.25	$340.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.41 / $300.41 / $300.41	Facility		$300.41	$300.41	$300.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.47 / $389.83 / $1,590.15	Professional		$254.47	$389.83	$1,590.15
United Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $344.41 / $484.70	Professional		$219.03	$344.41	$484.70