Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $194.02 / $1,400.00	Facility		$194.02	$194.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $194.02 / $215.18	Professional		$174.31	$194.02	$215.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.12 / $225.76 / $245.97	Facility		$197.12	$225.76	$245.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.64 / $218.64 / $218.64	Professional		$218.64	$218.64	$218.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.42 / $211.42 / $211.42	Facility		$211.42	$211.42	$211.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $264.94 / $862.20	Professional		$176.36	$264.94	$862.20
United Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $204.06 / $291.52	Professional		$139.08	$204.06	$291.52