Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $117.31 / $1,400.00	Facility		$109.25	$117.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $109.25 / $118.63	Professional		$104.15	$109.25	$118.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $133.32 / $145.26	Facility		$115.93	$133.32	$145.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $129.12	Professional		$129.12	$129.12	$129.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $185.90 / $185.90	Facility		$185.90	$185.90	$185.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $141.16 / $334.99	Professional		$98.80	$141.16	$334.99
United Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $154.51 / $226.98	Professional		$99.63	$154.51	$226.98