Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $162.35 / $1,400.00	Facility		$104.83	$162.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $104.83 / $126.26	Professional		$94.10	$104.83	$126.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.32 / $125.72 / $136.97	Facility		$110.32	$125.72	$136.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $121.76 / $121.76	Professional		$62.34	$121.76	$121.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $117.31	Facility		$117.31	$117.31	$117.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $142.06 / $300.89	Professional		$86.25	$142.06	$300.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $102.01 / $162.35	Professional		$75.36	$102.01	$162.35