Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $192.90 / $1,400.00	Facility		$129.01	$192.90	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $192.90 / $337.90	Professional		$129.01	$192.90	$337.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $146.94 / $160.11	Facility		$135.27	$146.94	$160.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $182.80 / $230.69	Professional		$142.32	$182.80	$230.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $190.20 / $611.17	Professional		$122.30	$190.20	$611.17
United Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $194.20 / $277.25	Professional		$140.36	$194.20	$277.25