Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.01 / $272.44 / $1,400.00	Facility		$104.01	$272.44	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $157.79 / $312.57	Professional		$103.62	$157.79	$312.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.14 / $122.20 / $133.13	Facility		$111.14	$122.20	$133.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $118.34 / $118.34	Professional		$118.34	$118.34	$118.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $178.20 / $178.20	Facility		$178.20	$178.20	$178.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $299.35 / $654.79	Professional		$118.34	$299.35	$654.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,088.70 / $1,088.70 / $1,088.70	Facility		$1,088.70	$1,088.70	$1,088.70
United Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $307.05 / $611.84	Professional		$202.45	$307.05	$611.84