Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $163.85 / $1,400.00	Facility		$129.07	$163.85	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $159.61 / $208.26	Professional		$124.18	$159.61	$208.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $141.35 / $167.70	Facility		$128.27	$141.35	$167.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $149.06 / $173.71	Professional		$94.00	$149.06	$173.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $226.65 / $226.65	Facility		$226.65	$226.65	$226.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $196.38 / $423.12	Professional		$133.83	$196.38	$423.12
United Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $183.53 / $279.29	Professional		$123.83	$183.53	$279.29