Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $202.64 / $1,600.00	Facility		$124.15	$202.64	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $195.39 / $231.62	Professional		$124.15	$195.39	$231.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $151.32 / $164.86	Facility		$136.46	$151.32	$164.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $146.54 / $146.54	Professional		$146.54	$146.54	$146.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.81 / $218.81 / $218.81	Facility		$218.81	$218.81	$218.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $258.93 / $606.50	Professional		$146.55	$258.93	$606.50
United Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $250.32 / $366.36	Professional		$159.91	$250.32	$366.36