Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.09 / $190.72 / $1,600.00	Facility		$129.09	$190.72	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $178.95 / $212.66	Professional		$129.09	$178.95	$212.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $157.80 / $171.92	Facility		$141.81	$157.80	$171.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $152.82 / $152.82	Professional		$152.82	$152.82	$152.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $227.39	Facility		$227.39	$227.39	$227.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $201.18 / $546.29	Professional		$127.53	$201.18	$546.29
United Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $239.18 / $339.42	Professional		$160.79	$239.18	$339.42