Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $108.24 / $1,400.00	Facility		$108.24	$108.24	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $113.68 / $132.72	Professional		$102.54	$113.68	$132.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.76 / $133.81 / $145.79	Facility		$121.76	$133.81	$145.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $129.59 / $129.59	Professional		$129.59	$129.59	$129.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $166.60 / $681.23	Professional		$112.11	$166.60	$681.23
United Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $141.46 / $211.75	Professional		$93.57	$141.46	$211.75