Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.39 / $301.42 / $1,700.00	Facility		$182.39	$301.42	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $196.28 / $289.54	Professional		$174.11	$196.28	$289.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.41 / $233.44 / $254.33	Facility		$206.41	$233.44	$254.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $226.07 / $226.07	Professional		$115.90	$226.07	$226.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Facility		$221.10	$221.10	$221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $282.83 / $507.30	Professional		$187.30	$282.83	$507.30
United Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $241.74 / $326.54	Professional		$162.51	$241.74	$326.54