Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.49 / $1,142.98 / $1,700.00	Facility		$197.49	$1,142.98	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $449.85 / $1,472.85	Professional		$197.49	$449.85	$1,472.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $247.15 / $269.27	Facility		$222.05	$247.15	$269.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Professional		$239.35	$239.35	$239.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.06 / $356.06 / $356.06	Facility		$356.06	$356.06	$356.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $972.87 / $3,185.00	Professional		$239.35	$972.87	$3,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.36 / $1,407.83 / $2,327.91	Professional		$979.36	$1,407.83	$2,327.91