Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $282.91 / $1,700.00	Facility		$121.23	$282.91	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $213.17 / $345.78	Professional		$121.23	$213.17	$345.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.51 / $147.68 / $160.91	Facility		$134.51	$147.68	$160.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $143.03 / $143.03	Professional		$143.03	$143.03	$143.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $215.68 / $215.68	Facility		$215.68	$215.68	$215.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $310.66 / $753.45	Professional		$143.03	$310.66	$753.45
United Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $279.58 / $466.97	Professional		$207.73	$279.58	$466.97