Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $626.40 / $1,652.40	Facility		$210.98	$626.40	$1,652.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $95.52 / $99.02	Professional		$59.96	$95.52	$99.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $174.74 / $203.86	Facility		$139.79	$174.74	$203.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $139.79 / $157.26	Professional		$139.79	$139.79	$157.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.81 / $277.81 / $277.81	Facility		$277.81	$277.81	$277.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $218.37 / $749.16	Professional		$201.98	$218.37	$749.16
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $116.49 / $268.57	Professional		$69.89	$116.49	$268.57