Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.47 / $379.66 / $1,400.00	Facility		$230.47	$379.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $247.83 / $413.83	Professional		$219.73	$247.83	$413.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $294.02 / $320.33	Facility		$260.14	$294.02	$320.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $284.75 / $284.75	Professional		$146.16	$284.75	$284.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $278.58 / $278.58	Facility		$278.58	$278.58	$278.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.15 / $374.41 / $734.37	Professional		$236.15	$374.41	$734.37
United Facility/Professional Professional Modifier Low / Median / High Price $206.01 / $326.18 / $431.08	Professional		$206.01	$326.18	$431.08