Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.90 / $289.73 / $1,400.00	Facility		$128.90	$289.73	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $228.35 / $515.23	Professional		$128.90	$228.35	$515.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $148.24 / $161.50	Facility		$136.07	$148.24	$161.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $269.89 / $338.36	Professional		$143.56	$269.89	$338.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $218.19 / $218.19	Facility		$218.19	$218.19	$218.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $282.55 / $612.72	Professional		$128.61	$282.55	$612.72
United Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $314.52 / $509.82	Professional		$214.02	$314.52	$509.82