Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $138.18 / $1,400.00	Facility		$138.18	$138.18	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $144.88 / $161.10	Professional		$138.18	$144.88	$161.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $160.00 / $174.31	Facility		$138.74	$160.00	$174.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $154.94 / $154.94	Professional		$154.94	$154.94	$154.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Facility		$148.60	$148.60	$148.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $204.83 / $1,558.95	Professional		$123.32	$204.83	$1,558.95
United Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $194.99 / $402.17	Professional		$111.42	$194.99	$402.17