Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $152.97 / $1,400.00	Facility		$47.56	$152.97	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $73.78 / $188.68	Professional		$42.57	$73.78	$188.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $57.13 / $62.25	Facility		$51.88	$57.13	$62.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $55.33	Professional		$55.33	$55.33	$55.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $83.19 / $83.19	Facility		$83.19	$83.19	$83.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $164.09 / $414.11	Professional		$55.34	$164.09	$414.11
United Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $192.84 / $314.23	Professional		$126.88	$192.84	$314.23