Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.88 / $170.20 / $1,400.00	Facility		$102.88	$170.20	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $135.47 / $202.23	Professional		$102.88	$135.47	$202.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $125.75 / $137.00	Facility		$115.07	$125.75	$137.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $121.78 / $121.78	Professional		$121.78	$121.78	$121.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $184.52 / $184.52	Facility		$184.52	$184.52	$184.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $201.72 / $523.84	Professional		$121.78	$201.72	$523.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $218.16 / $289.00	Professional		$128.41	$218.16	$289.00