Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.92 / $332.78 / $1,400.00	Facility		$195.92	$332.78	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.07 / $210.32 / $352.53	Professional		$186.07	$210.32	$352.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $257.72 / $280.79	Facility		$218.51	$257.72	$280.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $249.59 / $249.59	Professional		$128.05	$249.59	$249.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $234.11	Facility		$234.11	$234.11	$234.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $311.99 / $651.84	Professional		$193.97	$311.99	$651.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $255.56 / $356.75	Professional		$162.63	$255.56	$356.75