Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $280.41 / $1,200.00	Facility		$128.81	$280.41	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $267.47 / $489.54	Professional		$128.46	$267.47	$489.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $178.71 / $246.04	Facility		$149.59	$178.71	$246.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $158.86 / $166.08	Professional		$158.86	$158.86	$166.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $310.05 / $680.09	Professional		$151.90	$310.05	$680.09
United Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $400.48 / $588.26	Professional		$236.13	$400.48	$588.26