Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $144.57 / $1,400.00	Facility		$102.89	$144.57	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $138.51 / $179.04	Professional		$100.27	$138.51	$179.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $112.17 / $133.76	Facility		$102.31	$112.17	$133.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $118.90 / $150.55	Professional		$81.45	$118.90	$150.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $179.86 / $179.86	Facility		$179.86	$179.86	$179.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $165.65 / $422.98	Professional		$112.02	$165.65	$422.98
United Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $171.93 / $253.87	Professional		$119.60	$171.93	$253.87