Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $99.79 / $1,400.00	Facility		$52.02	$99.79	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $99.79 / $183.63	Professional		$52.02	$99.79	$183.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $67.64 / $93.11	Facility		$56.07	$67.64	$93.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.14	Professional		$60.12	$60.12	$60.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $117.84 / $244.02	Professional		$59.76	$117.84	$244.02
United Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $148.61 / $214.10	Professional		$84.92	$148.61	$214.10