Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $113.00 / $1,400.00	Facility		$86.31	$113.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $107.77 / $144.43	Professional		$81.62	$107.77	$144.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $83.17 / $100.06	Facility		$76.54	$83.17	$100.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $88.94 / $103.19	Professional		$55.96	$88.94	$103.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.36 / $133.36	Facility		$133.36	$133.36	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $124.31 / $340.83	Professional		$82.96	$124.31	$340.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $140.13 / $227.12	Professional		$89.19	$140.13	$227.12