Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $266.35 / $1,700.00	Facility		$161.12	$266.35	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $161.61 / $270.02	Professional		$153.78	$161.61	$270.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.38 / $206.27 / $224.73	Facility		$182.38	$206.27	$224.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $199.76 / $199.76	Professional		$102.36	$199.76	$199.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $256.74 / $491.83	Professional		$165.49	$256.74	$491.83
United Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $217.75 / $301.16	Professional		$143.78	$217.75	$301.16