Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $60.24 / $1,400.00	Facility		$53.00	$60.24	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $65.16 / $74.75	Professional		$53.00	$65.16	$74.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $58.76 / $86.59	Facility		$53.86	$58.76	$86.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $56.90 / $56.90	Professional		$56.90	$56.90	$56.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $86.99 / $240.08	Professional		$52.16	$86.99	$240.08
United Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $84.35 / $632.50	Professional		$49.47	$84.35	$632.50