Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.90 / $145.90 / $1,700.00	Facility		$145.90	$145.90	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $152.87 / $173.12	Professional		$145.90	$152.87	$173.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.81 / $167.48 / $182.48	Facility		$145.81	$167.48	$182.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Professional		$162.19	$162.19	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $156.58 / $156.58	Facility		$156.58	$156.58	$156.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $215.40 / $918.11	Professional		$130.47	$215.40	$918.11
United Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $180.15 / $319.54	Professional		$117.59	$180.15	$319.54