Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $173.92 / $1,400.00	Facility		$72.26	$173.92	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $120.77 / $212.32	Professional		$68.83	$120.77	$212.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.13 / $86.15 / $93.85	Facility		$77.13	$86.15	$93.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $83.42 / $178.09	Professional		$83.42	$83.42	$178.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $173.06 / $377.59	Professional		$74.36	$173.06	$377.59
United Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $174.76 / $278.55	Professional		$121.45	$174.76	$278.55