Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $202.80 / $1,400.00	Facility		$132.69	$202.80	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $147.52 / $203.99	Professional		$124.56	$147.52	$203.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $157.06 / $171.11	Facility		$141.88	$157.06	$171.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $152.10 / $152.10	Professional		$78.06	$152.10	$152.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $151.61 / $151.61	Facility		$151.61	$151.61	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $200.61 / $393.65	Professional		$128.77	$200.61	$393.65
United Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $201.27 / $368.79	Professional		$109.05	$201.27	$368.79