Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $291.44 / $1,400.00	Facility		$130.99	$291.44	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $221.61 / $354.01	Professional		$126.46	$221.61	$354.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $139.72 / $168.41	Facility		$139.72	$139.72	$168.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $224.04 / $224.04	Facility		$224.04	$224.04	$224.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $311.51 / $690.85	Professional		$138.30	$311.51	$690.85
United Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $350.85 / $614.45	Professional		$213.68	$350.85	$614.45