Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $177.61 / $1,400.00	Facility		$65.38	$177.61	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $141.16 / $197.51	Professional		$62.39	$141.16	$197.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $111.39 / $111.39	Facility		$76.38	$111.39	$111.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $73.97 / $73.97	Professional		$73.97	$73.97	$73.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $181.18 / $421.16	Professional		$66.58	$181.18	$421.16
United Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $210.51 / $320.12	Professional		$141.12	$210.51	$320.12