Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $1,400.00	Facility		$69.65	$69.65	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $74.68 / $83.53	Professional		$65.90	$74.68	$83.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.08 / $115.33 / $118.62	Facility		$79.08	$115.33	$118.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $76.58 / $76.58	Professional		$76.58	$76.58	$76.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $77.44 / $77.44	Facility		$77.44	$77.44	$77.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $101.45 / $413.16	Professional		$65.65	$101.45	$413.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $86.04 / $131.58	Professional		$53.78	$86.04	$131.58