Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $1,584.89	Facility		$107.15	$107.15	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $177.83	Professional		$100.00	$109.65	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $151.36	Facility		$123.03	$123.03	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,659.59	Facility		$194.98	$194.98	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $758.58	Professional		$107.15	$181.97	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $204.17	Professional		$95.50	$141.25	$204.17