Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $160.07 / $4,075.07	Facility		$132.99	$160.07	$4,075.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $146.19 / $169.18	Professional		$125.75	$146.19	$169.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $167.62 / $182.61	Facility		$152.19	$167.62	$182.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $162.32 / $162.32	Professional		$162.32	$162.32	$162.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $244.04 / $244.04	Facility		$244.04	$244.04	$244.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $207.39 / $689.12	Professional		$143.11	$207.39	$689.12
United Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $175.35 / $281.07	Professional		$115.60	$175.35	$281.07