Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $135.28 / $1,200.00	Facility		$83.71	$135.28	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $114.30 / $152.69	Professional		$83.71	$114.30	$152.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $104.76 / $114.14	Facility		$95.25	$104.76	$114.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $101.46 / $101.46	Professional		$70.09	$101.46	$101.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $152.74 / $152.74	Facility		$152.74	$152.74	$152.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $142.02 / $285.57	Professional		$90.66	$142.02	$285.57
United Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $146.27 / $252.82	Professional		$87.16	$146.27	$252.82