Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.36 / $177.87 / $1,600.00	Facility		$107.36	$177.87	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $115.94 / $193.48	Professional		$106.00	$115.94	$193.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $137.75 / $150.08	Facility		$121.92	$137.75	$150.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $133.40 / $133.40	Professional		$68.31	$133.40	$133.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $174.39 / $349.84	Professional		$110.34	$174.39	$349.84
United Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $143.69 / $205.79	Professional		$94.76	$143.69	$205.79