Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $193.89 / $1,600.00	Facility		$139.44	$193.89	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $181.38 / $213.11	Professional		$139.44	$181.38	$213.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $165.20 / $179.98	Facility		$149.60	$165.20	$179.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Professional		$159.97	$159.97	$159.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.33 / $244.98 / $665.74	Professional		$154.33	$244.98	$665.74
United Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $261.83 / $375.41	Professional		$149.62	$261.83	$375.41