Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $158.80 / $1,600.00	Facility		$109.56	$158.80	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $149.36 / $172.31	Professional		$109.56	$149.36	$172.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $129.69 / $141.30	Facility		$117.88	$129.69	$141.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Professional		$125.60	$125.60	$125.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $189.02 / $189.02	Facility		$189.02	$189.02	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $197.04 / $528.51	Professional		$125.47	$197.04	$528.51
United Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $172.05 / $286.95	Professional		$119.69	$172.05	$286.95