Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.45 / $391.72 / $1,200.00	Facility		$222.45	$391.72	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $384.45 / $685.31	Professional		$222.45	$384.45	$685.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.07 / $287.26 / $312.97	Facility		$260.07	$287.26	$312.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $278.20 / $278.20	Professional		$238.77	$278.20	$278.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $417.02	Facility		$417.02	$417.02	$417.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $463.81 / $1,122.52	Professional		$260.02	$463.81	$1,122.52
United Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $524.54 / $705.85	Professional		$312.27	$524.54	$705.85