Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.43 / $197.57 / $1,200.00	Facility		$128.43	$197.57	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $165.25 / $264.31	Professional		$128.43	$165.25	$264.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $153.00 / $166.70	Facility		$139.43	$153.00	$166.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $148.18 / $148.18	Professional		$97.18	$148.18	$148.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $204.99 / $467.85	Professional		$134.11	$204.99	$467.85
United Facility/Professional Professional Modifier Low / Median / High Price $134.07 / $201.38 / $380.56	Professional		$134.07	$201.38	$380.56