Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $1,412.54	Facility		$77.62	$77.62	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $131.83	Professional		$75.86	$87.10	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Facility		$83.18	$83.18	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $134.90 / $134.90	Facility		$34.67	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $616.60	Professional		$64.57	$117.49	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $199.53	Professional		$69.18	$109.65	$199.53