Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.99 / $259.36 / $1,400.00	Facility		$163.99	$259.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $211.65 / $345.58	Professional		$163.99	$211.65	$345.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $185.02 / $201.58	Facility		$170.32	$185.02	$201.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $239.69 / $302.24	Professional		$179.18	$239.69	$302.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.11 / $273.11 / $273.11	Facility		$273.11	$273.11	$273.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $246.11 / $768.65	Professional		$154.97	$246.11	$768.65
United Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $263.83 / $421.31	Professional		$188.42	$263.83	$421.31