Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $231.42 / $1,600.00	Facility		$153.85	$231.42	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $153.85 / $189.42	Professional		$143.13	$153.85	$189.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $179.22 / $195.26	Facility		$161.27	$179.22	$195.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $173.57 / $173.57	Professional		$89.21	$173.57	$173.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $172.15 / $172.15	Facility		$172.15	$172.15	$172.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $216.96 / $442.70	Professional		$145.76	$216.96	$442.70
United Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $188.18 / $294.88	Professional		$125.46	$188.18	$294.88