Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $162.21 / $1,400.00	Facility		$104.65	$162.21	$1,400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.94 / $125.62 / $136.86	Facility		$110.94	$125.62	$136.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $117.97 / $117.97	Facility		$117.97	$117.97	$117.97
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00