Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $315.72 / $1,400.00	Facility		$146.16	$315.72	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $239.64 / $370.65	Professional		$146.16	$239.64	$370.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.56 / $267.70 / $275.35	Facility		$183.56	$267.70	$275.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $177.78 / $177.78	Professional		$177.78	$177.78	$177.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.23 / $415.61 / $864.79	Professional		$182.23	$415.61	$864.79
United Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $419.76 / $703.87	Professional		$264.95	$419.76	$703.87