Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $234.77 / $1,200.00	Facility		$143.02	$234.77	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $211.23 / $395.84	Professional		$143.02	$211.23	$395.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $198.09 / $272.72	Facility		$165.47	$198.09	$272.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $176.08 / $176.08	Professional		$132.22	$176.08	$176.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Facility		$265.33	$265.33	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $257.72 / $638.35	Professional		$167.36	$257.72	$638.35
United Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $300.66 / $482.61	Professional		$182.90	$300.66	$482.61