Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.14 / $188.14 / $1,600.00	Facility		$188.14	$188.14	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $210.24 / $210.24	Professional		$188.14	$210.24	$210.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $219.56 / $317.33	Facility		$197.54	$219.56	$317.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Professional		$212.64	$212.64	$212.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $285.92 / $1,167.83	Professional		$178.50	$285.92	$1,167.83
United Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $238.21 / $447.77	Professional		$153.88	$238.21	$447.77