Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $178.09 / $1,600.00	Facility		$106.72	$178.09	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $153.47 / $220.42	Professional		$101.57	$153.47	$220.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.06 / $116.00 / $138.66	Facility		$106.06	$116.00	$138.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $123.25 / $188.23	Professional		$101.96	$123.25	$188.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $186.01 / $186.01	Facility		$186.01	$186.01	$186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $195.15 / $445.65	Professional		$116.04	$195.15	$445.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $178.99 / $282.32	Professional		$132.58	$178.99	$282.32