Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $197.49 / $1,400.00	Facility		$132.06	$197.49	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $138.77 / $171.29	Professional		$117.85	$138.77	$171.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $152.94 / $166.63	Facility		$132.66	$152.94	$166.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $148.12	Professional		$76.06	$76.06	$148.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $158.47 / $362.74	Professional		$117.93	$158.47	$362.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $159.75 / $214.21	Professional		$104.71	$159.75	$214.21