Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $266.39 / $1,400.00	Facility		$115.32	$266.39	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $206.15 / $411.98	Professional		$100.90	$206.15	$411.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $127.45 / $138.86	Facility		$118.04	$127.45	$138.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $238.37 / $297.52	Professional		$123.43	$238.37	$297.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $189.28 / $189.28	Facility		$189.28	$189.28	$189.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $239.03 / $534.78	Professional		$106.48	$239.03	$534.78
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $281.52 / $393.31	Professional		$188.82	$281.52	$393.31