Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.08 / $117.03 / $1,400.00	Facility		$93.08	$117.03	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $111.28 / $134.76	Professional		$93.08	$111.28	$134.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $115.38 / $125.70	Facility		$103.65	$115.38	$125.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $111.73 / $111.73	Professional		$111.73	$111.73	$111.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $166.21 / $166.21	Facility		$166.21	$166.21	$166.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $163.15 / $452.12	Professional		$99.05	$163.15	$452.12
United Facility/Professional Facility Modifier Low / Median / High Price $681.88 / $681.88 / $681.88	Facility		$681.88	$681.88	$681.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $157.61 / $231.86	Professional		$98.52	$157.61	$231.86