Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.68 / $409.38 / $1,400.00	Facility		$125.68	$409.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $215.89 / $520.61	Professional		$118.16	$215.89	$520.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $151.47 / $165.02	Facility		$136.71	$151.47	$165.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $146.69 / $428.63	Professional		$146.69	$146.69	$428.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $219.22 / $219.22	Facility		$219.22	$219.22	$219.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $386.07 / $915.85	Professional		$136.12	$386.07	$915.85
United Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $488.97 / $720.67	Professional		$307.69	$488.97	$720.67