Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $253.05 / $1,400.00	Facility		$92.80	$253.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $139.06 / $307.48	Professional		$92.80	$139.06	$307.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $94.40 / $117.33	Facility		$94.40	$94.40	$117.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $104.29 / $104.29	Professional		$104.29	$104.29	$104.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $151.38 / $151.38	Facility		$151.38	$151.38	$151.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $248.21 / $567.97	Professional		$121.67	$248.21	$567.97
United Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $348.29 / $509.42	Professional		$214.80	$348.29	$509.42