Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $148.58 / $1,400.00	Facility		$55.27	$148.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $69.08 / $150.56	Professional		$45.18	$69.08	$150.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.58 / $56.06 / $68.73	Facility		$52.58	$56.06	$68.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $61.10 / $61.10	Professional		$61.10	$61.10	$61.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $89.88	Facility		$89.88	$89.88	$89.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $164.55 / $401.38	Professional		$61.11	$164.55	$401.38
United Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $184.96 / $297.95	Professional		$124.74	$184.96	$297.95