Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.37 / $304.37 / $1,400.00	Facility		$304.37	$304.37	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $304.37 / $352.27	Professional		$282.27	$304.37	$352.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $282.74 / $384.26	Facility		$64.26	$282.74	$384.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Professional		$67.73	$67.73	$67.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $336.95 / $336.95	Facility		$336.95	$336.95	$336.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $430.21 / $1,472.63	Professional		$287.33	$430.21	$1,472.63
United Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $405.27 / $686.98	Professional		$259.93	$405.27	$686.98