Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $136.78 / $1,400.00	Facility		$67.95	$136.78	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $152.83	Professional		$67.56	$115.37	$152.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $81.70 / $89.02	Facility		$68.08	$81.70	$89.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $79.13 / $79.13	Professional		$79.13	$79.13	$79.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $118.50 / $118.50	Facility		$118.50	$118.50	$118.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $141.15 / $321.16	Professional		$66.18	$141.15	$321.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $147.00 / $201.02	Professional		$97.27	$147.00	$201.02