Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $106.02 / $1,400.00	Facility		$106.02	$106.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $106.02 / $123.99	Professional		$96.41	$106.02	$123.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $140.69 / $153.31	Facility		$121.03	$140.69	$153.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $136.27 / $136.27	Professional		$136.27	$136.27	$136.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Facility		$129.58	$129.58	$129.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $166.85 / $767.54	Professional		$109.29	$166.85	$767.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $128.52 / $181.70	Professional		$93.47	$128.52	$181.70