Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.16 / $210.16 / $1,400.00	Facility		$210.16	$210.16	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $214.67 / $241.72	Professional		$191.45	$214.67	$241.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $246.52 / $268.58	Facility		$222.94	$246.52	$268.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.74 / $238.74 / $238.74	Professional		$238.74	$238.74	$238.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $237.80 / $237.80	Facility		$237.80	$237.80	$237.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $298.43 / $1,413.90	Professional		$205.66	$298.43	$1,413.90
United Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $242.95 / $380.73	Professional		$169.01	$242.95	$380.73