Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $100.86 / $1,400.00	Facility		$100.86	$100.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $100.86 / $122.46	Professional		$91.76	$100.86	$122.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $133.76 / $145.75	Facility		$115.04	$133.76	$145.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $129.55 / $129.55	Professional		$129.55	$129.55	$129.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $122.75 / $122.75	Facility		$122.75	$122.75	$122.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $161.94 / $813.45	Professional		$103.92	$161.94	$813.45
United Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $126.51 / $174.07	Professional		$86.37	$126.51	$174.07