Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $160.05 / $2,510.66	Facility		$106.46	$160.05	$2,510.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $106.46 / $130.58	Professional		$99.23	$106.46	$130.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.70 / $123.95 / $135.04	Facility		$111.70	$123.95	$135.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $120.04 / $120.04	Professional		$61.73	$120.04	$120.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $120.58 / $120.58	Facility		$120.58	$120.58	$120.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $150.04 / $305.72	Professional		$101.89	$150.04	$305.72
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $128.30 / $194.04	Professional		$86.75	$128.30	$194.04