Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $237.08 / $1,400.00	Facility		$95.77	$237.08	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $170.36 / $327.05	Professional		$85.67	$170.36	$327.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $108.31 / $118.00	Facility		$100.04	$108.31	$118.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $217.11 / $270.79	Professional		$104.89	$217.11	$270.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $160.41	Facility		$160.41	$160.41	$160.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $229.54 / $455.25	Professional		$89.84	$229.54	$455.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $255.44 / $348.57	Professional		$170.71	$255.44	$348.57