Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.25 / $142.25 / $1,700.00	Facility		$142.25	$142.25	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.25 / $149.06 / $166.13	Professional		$142.25	$149.06	$166.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $164.42 / $179.15	Facility		$142.69	$164.42	$179.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $159.24 / $159.24	Professional		$159.24	$159.24	$159.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $152.87 / $152.87	Facility		$152.87	$152.87	$152.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $210.78 / $918.11	Professional		$126.88	$210.78	$918.11
United Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $182.26 / $374.53	Professional		$114.79	$182.26	$374.53