Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.84 / $2,021.00 / $2,021.00	Facility		$199.84	$2,021.00	$2,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $195.49 / $348.47	Professional		$74.48	$195.49	$348.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $104.84 / $144.34	Facility		$87.22	$104.84	$144.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $93.19 / $93.19	Professional		$93.19	$93.19	$93.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $219.01 / $405.08	Professional		$86.79	$219.01	$405.08
United Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $265.39 / $379.13	Professional		$156.18	$265.39	$379.13