Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $268.76 / $1,400.00	Facility		$75.03	$268.76	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $124.65 / $326.39	Professional		$69.84	$124.65	$326.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $89.38 / $97.38	Facility		$79.98	$89.38	$97.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $86.56 / $267.83	Professional		$86.56	$86.56	$267.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $128.25	Facility		$128.25	$128.25	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $210.14 / $465.51	Professional		$73.06	$210.14	$465.51
United Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $257.66 / $377.28	Professional		$173.88	$257.66	$377.28