Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $165.57 / $1,400.00	Facility		$96.69	$165.57	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.69 / $179.65 / $314.70	Professional		$96.69	$179.65	$314.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $113.58 / $123.75	Facility		$103.09	$113.58	$123.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $110.00 / $110.00	Professional		$94.40	$110.00	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Facility		$165.31	$165.31	$165.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $246.53 / $571.51	Professional		$110.00	$246.53	$571.51
United Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $254.06 / $454.63	Professional		$207.68	$254.06	$454.63