Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $1,400.00	Facility		$128.99	$128.99	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $129.19 / $129.19	Professional		$125.27	$129.19	$129.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.36 / $151.61 / $219.85	Facility		$137.36	$151.61	$219.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $146.83 / $146.83	Professional		$146.83	$146.83	$146.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $194.53 / $818.96	Professional		$124.27	$194.53	$818.96
United Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $170.48 / $319.13	Professional		$108.64	$170.48	$319.13