Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.30 / $156.97 / $1,400.00	Facility		$82.30	$156.97	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $132.43 / $165.08	Professional		$82.30	$132.43	$165.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $102.56 / $111.74	Facility		$92.29	$102.56	$111.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Professional		$99.32	$99.32	$99.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.99 / $147.99 / $147.99	Facility		$147.99	$147.99	$147.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $182.01 / $405.36	Professional		$99.33	$182.01	$405.36
United Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $195.53 / $239.95	Professional		$113.13	$195.53	$239.95