Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.95 / $407.94 / $1,200.00	Facility		$209.95	$407.94	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $372.79 / $649.12	Professional		$209.95	$372.79	$649.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.19 / $312.70 / $430.54	Facility		$239.19	$312.70	$430.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $277.97 / $277.97	Professional		$264.06	$277.97	$277.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $469.47 / $1,030.17	Professional		$250.14	$469.47	$1,030.17
United Facility/Professional Professional Modifier Low / Median / High Price $337.29 / $518.98 / $711.48	Professional		$337.29	$518.98	$711.48