Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $202.60 / $1,600.00	Facility		$129.85	$202.60	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $192.36 / $239.37	Professional		$120.87	$192.36	$239.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $154.66 / $168.52	Facility		$141.34	$154.66	$168.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $149.80 / $149.80	Professional		$149.80	$149.80	$149.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $255.08 / $643.90	Professional		$149.79	$255.08	$643.90
United Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $240.88 / $355.59	Professional		$157.30	$240.88	$355.59