Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.58 / $152.58 / $1,600.00	Facility		$152.58	$152.58	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $150.80 / $153.22	Professional		$133.85	$150.80	$153.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $189.16 / $206.09	Facility		$165.15	$189.16	$206.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $183.19 / $183.19	Professional		$183.19	$183.19	$183.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $177.77 / $177.77	Facility		$177.77	$177.77	$177.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $200.41 / $438.61	Professional		$145.34	$200.41	$438.61
United Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $244.26 / $439.76	Professional		$139.26	$244.26	$439.76