Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $138.36 / $1,400.00	Facility		$93.71	$138.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $138.36 / $166.40	Professional		$93.71	$138.36	$166.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $93.48 / $116.82	Facility		$93.48	$93.48	$116.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $103.84 / $103.84	Professional		$103.84	$103.84	$103.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $149.88 / $149.88	Facility		$149.88	$149.88	$149.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $180.08 / $406.90	Professional		$109.34	$180.08	$406.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $178.49 / $261.14	Professional		$121.50	$178.49	$261.14