Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $104.26 / $1,400.00	Facility		$79.79	$104.26	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $104.26 / $125.38	Professional		$79.79	$104.26	$125.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.78 / $93.70 / $136.44	Facility		$84.78	$93.70	$136.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $90.74 / $90.74	Professional		$90.74	$90.74	$90.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $137.87 / $375.77	Professional		$82.09	$137.87	$375.77
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $125.28 / $229.81	Professional		$85.27	$125.28	$229.81