Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.65 / $231.50 / $1,200.00	Facility		$95.65	$231.50	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $208.31 / $369.94	Professional		$89.97	$208.31	$369.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $135.63 / $186.75	Facility		$112.79	$135.63	$186.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $120.56 / $142.97	Professional		$120.56	$120.56	$142.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $180.85	Facility		$180.85	$180.85	$180.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $257.68 / $497.38	Professional		$110.30	$257.68	$497.38
United Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $284.14 / $398.80	Professional		$184.81	$284.14	$398.80