Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.84 / $428.46 / $1,400.00	Facility		$252.84	$428.46	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $384.33 / $569.09	Professional		$227.21	$384.33	$569.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $286.79 / $312.45	Facility		$263.05	$286.79	$312.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.74 / $399.83 / $504.93	Professional		$277.74	$399.83	$504.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.80 / $421.80 / $421.80	Facility		$421.80	$421.80	$421.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.76 / $422.04 / $1,177.14	Professional		$246.76	$422.04	$1,177.14
United Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $485.33 / $736.84	Professional		$314.22	$485.33	$736.84