Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.14 / $237.43 / $2,290.36	Facility		$168.14	$237.43	$2,290.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $202.38 / $284.49	Professional		$163.33	$202.38	$284.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $200.83 / $218.81	Facility		$183.19	$200.83	$218.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $194.50 / $194.50	Professional		$194.50	$194.50	$194.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $293.74 / $293.74	Facility		$293.74	$293.74	$293.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.56 / $266.26 / $821.67	Professional		$173.56	$266.26	$821.67
United Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $238.20 / $398.74	Professional		$168.26	$238.20	$398.74