Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $184.13 / $1,400.00	Facility		$118.78	$184.13	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $118.78 / $142.91	Professional		$108.68	$118.78	$142.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.91 / $142.60 / $155.36	Facility		$124.91	$142.60	$155.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $138.10 / $138.10	Professional		$70.90	$138.10	$138.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $161.12 / $345.35	Professional		$106.33	$161.12	$345.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $124.60 / $279.89	Professional		$92.74	$124.60	$279.89