Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $210.02 / $1,400.00	Facility		$102.06	$210.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $157.36 / $250.87	Professional		$93.54	$157.36	$250.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $121.43 / $132.30	Facility		$106.80	$121.43	$132.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $117.60 / $215.50	Professional		$116.70	$117.60	$215.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $171.25 / $171.25	Facility		$171.25	$171.25	$171.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $201.66 / $473.95	Professional		$97.10	$201.66	$473.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $203.72 / $323.89	Professional		$141.41	$203.72	$323.89