Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $203.93 / $1,400.00	Facility		$98.67	$203.93	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $169.04 / $249.63	Professional		$94.02	$169.04	$249.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.02 / $116.02 / $126.40	Facility		$104.02	$116.02	$126.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $112.36 / $216.24	Professional		$112.36	$112.36	$216.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $166.80 / $166.80	Facility		$166.80	$166.80	$166.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $228.46 / $456.84	Professional		$105.53	$228.46	$456.84
United Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $244.14 / $379.44	Professional		$160.88	$244.14	$379.44