Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.08 / $412.94 / $1,400.00	Facility		$203.08	$412.94	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.08 / $412.94 / $872.35	Professional		$203.08	$412.94	$872.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.25 / $281.11 / $387.04	Facility		$234.25	$281.11	$387.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.54 / $249.88 / $249.88	Professional		$246.54	$249.88	$249.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $441.03 / $1,036.78	Professional		$235.80	$441.03	$1,036.78
United Facility/Professional Professional Modifier Low / Median / High Price $375.07 / $562.33 / $828.70	Professional		$375.07	$562.33	$828.70