Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.75 / $137.75 / $1,400.00	Facility		$137.75	$137.75	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $147.94 / $167.79	Professional		$130.91	$147.94	$167.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $173.29 / $188.81	Facility		$157.16	$173.29	$188.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $167.83 / $167.83	Professional		$167.83	$167.83	$167.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $168.46	Facility		$168.46	$168.46	$168.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $209.79 / $2,142.87	Professional		$145.75	$209.79	$2,142.87
United Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $175.09 / $265.05	Professional		$118.31	$175.09	$265.05