Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $166.57 / $1,400.00	Facility		$91.11	$166.57	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $132.88 / $189.48	Professional		$83.70	$132.88	$189.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $111.50 / $121.49	Facility		$92.92	$111.50	$121.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $107.99 / $107.99	Professional		$107.99	$107.99	$107.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $161.97 / $161.97	Facility		$161.97	$161.97	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $175.13 / $445.90	Professional		$90.01	$175.13	$445.90
United Facility/Professional Professional Modifier Low / Median / High Price $124.25 / $180.16 / $243.58	Professional		$124.25	$180.16	$243.58