Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $13,310.40 / $13,310.40	Facility		$1,400.00	$13,310.40	$13,310.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $162.22 / $368.89	Professional		$150.54	$162.22	$368.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $203.15 / $221.33	Facility		$180.74	$203.15	$221.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $196.74 / $196.74	Professional		$196.74	$196.74	$196.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $194.87 / $194.87	Facility		$194.87	$194.87	$194.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.48 / $260.68 / $796.70	Professional		$164.48	$260.68	$796.70
United Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $206.47 / $305.97	Professional		$145.46	$206.47	$305.97