Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.59 / $146.93 / $1,200.00	Facility		$91.59	$146.93	$1,200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.35 / $113.78 / $123.97	Facility		$104.35	$113.78	$123.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $167.33 / $167.33	Facility		$167.33	$167.33	$167.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,118.78 / $1,118.78 / $1,118.78	Facility		$1,118.78	$1,118.78	$1,118.78