Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $331.89 / $1,600.00	Facility		$201.00	$331.89	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $216.30 / $365.12	Professional		$191.60	$216.30	$365.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.26 / $257.02 / $280.02	Facility		$227.26	$257.02	$280.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $248.92 / $248.92	Professional		$127.65	$248.92	$248.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Facility		$242.82	$242.82	$242.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $314.63 / $637.22	Professional		$205.84	$314.63	$637.22
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $263.24 / $377.69	Professional		$176.69	$263.24	$377.69