Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $1,400.00	Facility		$102.14	$102.14	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $102.14 / $126.56	Professional		$90.38	$102.14	$126.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $138.41 / $150.81	Facility		$119.26	$138.41	$150.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.05 / $134.05 / $134.05	Professional		$134.05	$134.05	$134.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $128.35 / $128.35	Facility		$128.35	$128.35	$128.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $157.34 / $769.37	Professional		$106.25	$157.34	$769.37
United Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $167.05 / $222.85	Professional		$92.41	$167.05	$222.85