Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.85 / $181.85 / $1,400.00	Facility		$181.85	$181.85	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $181.85 / $226.68	Professional		$162.36	$181.85	$226.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.39 / $246.98 / $269.10	Facility		$213.39	$246.98	$269.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $239.20 / $239.20	Professional		$239.20	$239.20	$239.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.39 / $230.39 / $230.39	Facility		$230.39	$230.39	$230.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.88 / $281.51 / $1,276.16	Professional		$190.88	$281.51	$1,276.16
United Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $262.19 / $396.53	Professional		$166.85	$262.19	$396.53