Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.34 / $200.27 / $1,400.00	Facility		$96.34	$200.27	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $139.46 / $223.12	Professional		$92.84	$139.46	$223.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $167.56 / $167.56	Facility		$114.90	$167.56	$167.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $111.28 / $111.28	Professional		$111.28	$111.28	$111.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $160.74 / $160.74	Facility		$160.74	$160.74	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $236.84 / $479.54	Professional		$97.44	$236.84	$479.54
United Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $247.61 / $380.62	Professional		$160.35	$247.61	$380.62