Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.03 / $116.03 / $1,400.00	Facility		$116.03	$116.03	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $116.03 / $138.83	Professional		$101.67	$116.03	$138.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $137.29 / $149.58	Facility		$119.48	$137.29	$149.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $132.96 / $132.96	Professional		$68.09	$132.96	$132.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $127.87	Facility		$127.87	$127.87	$127.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $158.65 / $325.33	Professional		$106.15	$158.65	$325.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $133.79 / $186.09	Professional		$87.12	$133.79	$186.09