Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $263.69 / $1,600.00	Facility		$213.01	$263.69	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $376.11 / $507.96	Professional		$213.01	$376.11	$507.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $239.57 / $261.02	Facility		$220.80	$239.57	$261.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $251.45 / $318.31	Professional		$232.02	$251.45	$318.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.05 / $354.05 / $354.05	Facility		$354.05	$354.05	$354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.35 / $441.85 / $1,241.71	Professional		$251.35	$441.85	$1,241.71
United Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $493.33 / $750.90	Professional		$373.13	$493.33	$750.90