Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $124.31 / $1,855.85	Facility		$74.88	$124.31	$1,855.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $124.31 / $191.18	Professional		$74.88	$124.31	$191.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $89.52 / $123.09	Facility		$74.59	$89.52	$123.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $191.18 / $277.04	Professional		$118.41	$191.18	$277.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $158.19 / $364.83	Professional		$85.25	$158.19	$364.83
United Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $191.18 / $275.76	Professional		$113.74	$191.18	$275.76