Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $266.33 / $1,400.00	Facility		$80.40	$266.33	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $168.58 / $345.22	Professional		$74.52	$168.58	$345.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $95.03 / $103.53	Facility		$84.93	$95.03	$103.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $265.41	Professional		$92.03	$92.03	$265.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $225.66 / $469.48	Professional		$86.36	$225.66	$469.48
United Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $261.52 / $382.02	Professional		$184.00	$261.52	$382.02