Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $108.48 / $1,400.00	Facility		$64.29	$108.48	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $94.79 / $133.69	Professional		$64.29	$94.79	$133.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $81.77 / $119.32	Facility		$74.15	$81.77	$119.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $79.19 / $79.19	Professional		$79.19	$79.19	$79.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $147.82 / $328.97	Professional		$71.04	$147.82	$328.97
United Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $162.26 / $632.32	Professional		$86.87	$162.26	$632.32