Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.60 / $219.65 / $1,400.00	Facility		$106.60	$219.65	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $165.22 / $261.85	Professional		$97.73	$165.22	$261.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $127.81 / $139.25	Facility		$112.10	$127.81	$139.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $123.78 / $225.47	Professional		$122.27	$123.78	$225.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $179.75 / $179.75	Facility		$179.75	$179.75	$179.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $211.47 / $497.38	Professional		$107.06	$211.47	$497.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.57 / $222.19 / $340.83	Professional		$154.57	$222.19	$340.83