Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.80 / $293.62 / $1,400.00	Facility		$177.80	$293.62	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $234.13 / $377.53	Professional		$177.80	$234.13	$377.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $247.74 / $341.08	Facility		$204.05	$247.74	$341.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $220.21 / $220.21	Professional		$146.16	$220.21	$220.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $327.19	Facility		$327.19	$327.19	$327.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $288.45 / $647.75	Professional		$205.21	$288.45	$647.75
United Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $275.62 / $379.71	Professional		$179.67	$275.62	$379.71