Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $157.97 / $1,400.00	Facility		$86.89	$157.97	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $127.83 / $194.27	Professional		$83.20	$127.83	$194.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $96.06 / $114.94	Facility		$87.91	$96.06	$114.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $102.17 / $167.96	Professional		$91.01	$102.17	$167.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $154.03 / $154.03	Facility		$154.03	$154.03	$154.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $163.87 / $382.44	Professional		$95.26	$163.87	$382.44
United Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $156.58 / $238.83	Professional		$111.84	$156.58	$238.83