Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $236.45 / $1,600.00	Facility		$127.50	$236.45	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $135.21 / $199.53	Professional		$126.50	$135.21	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.65 / $183.11 / $199.50	Facility		$158.65	$183.11	$199.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $177.34 / $177.34	Professional		$91.01	$177.34	$177.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $188.93 / $380.06	Professional		$131.69	$188.93	$380.06
United Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $144.57 / $229.06	Professional		$92.00	$144.57	$229.06