Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.66 / $1,518.10 / $1,518.10	Facility		$118.66	$1,518.10	$1,518.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $118.66 / $148.86	Professional		$107.34	$118.66	$148.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.11 / $162.41 / $176.94	Facility		$141.11	$162.41	$176.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $157.28 / $157.28	Professional		$157.28	$157.28	$157.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $152.24 / $152.24	Facility		$152.24	$152.24	$152.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $185.67 / $1,031.94	Professional		$127.24	$185.67	$1,031.94
United Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $179.61 / $288.93	Professional		$107.23	$179.61	$288.93