Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.64 / $168.64 / $1,600.00	Facility		$168.64	$168.64	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $168.64 / $190.49	Professional		$146.71	$168.64	$190.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.49 / $213.49 / $232.61	Facility		$191.49	$213.49	$232.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.76 / $206.76 / $206.76	Professional		$206.76	$206.76	$206.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.04 / $206.04 / $206.04	Facility		$206.04	$206.04	$206.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $241.21 / $1,087.04	Professional		$176.77	$241.21	$1,087.04
United Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $198.78 / $311.37	Professional		$137.84	$198.78	$311.37