Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $118.75 / $1,400.00	Facility		$118.75	$118.75	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $122.49 / $140.81	Professional		$107.75	$122.49	$140.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $138.85 / $151.28	Facility		$120.51	$138.85	$151.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $134.47 / $134.47	Professional		$68.90	$134.47	$134.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $129.34	Facility		$129.34	$129.34	$129.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $168.09 / $339.00	Professional		$107.16	$168.09	$339.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $156.88 / $260.07	Professional		$98.25	$156.88	$260.07