Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $122.09 / $1,600.00	Facility		$122.09	$122.09	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $122.09 / $149.19	Professional		$104.98	$122.09	$149.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $155.35 / $169.25	Facility		$138.49	$155.35	$169.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $150.44 / $150.44	Professional		$150.44	$150.44	$150.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $148.69 / $148.69	Facility		$148.69	$148.69	$148.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $184.96 / $811.60	Professional		$126.28	$184.96	$811.60
United Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $162.43 / $269.69	Professional		$107.58	$162.43	$269.69