Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $221.66 / $1,400.00	Facility		$138.59	$221.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $207.73 / $277.76	Professional		$138.04	$207.73	$277.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $146.77 / $175.27	Facility		$134.06	$146.77	$175.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $155.80 / $225.69	Professional		$122.27	$155.80	$225.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $235.34 / $235.34	Facility		$235.34	$235.34	$235.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $241.09 / $601.99	Professional		$151.13	$241.09	$601.99
United Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $278.18 / $492.04	Professional		$176.37	$278.18	$492.04