Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $195.01 / $1,400.00	Facility		$124.84	$195.01	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $154.69 / $239.99	Professional		$117.95	$154.69	$239.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $147.74 / $160.96	Facility		$133.22	$147.74	$160.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $143.08 / $209.54	Professional		$113.71	$143.08	$209.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $213.62	Facility		$213.62	$213.62	$213.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $213.92 / $496.94	Professional		$134.82	$213.92	$496.94
United Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $209.21 / $311.01	Professional		$138.02	$209.21	$311.01