Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $160.47 / $1,400.00	Facility		$62.41	$160.47	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $101.47 / $197.75	Professional		$62.41	$101.47	$197.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $75.92 / $82.71	Facility		$68.25	$75.92	$82.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $73.52 / $164.60	Professional		$73.52	$73.52	$164.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $160.87 / $304.05	Professional		$70.25	$160.87	$304.05
United Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $171.85 / $266.48	Professional		$109.98	$171.85	$266.48