Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $75.36 / $1,400.00	Facility		$75.36	$75.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $75.36 / $89.59	Professional		$71.98	$75.36	$89.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $66.70 / $94.73	Facility		$18.59	$66.70	$94.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $19.62 / $19.62	Professional		$19.62	$19.62	$19.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $85.72 / $85.72	Facility		$85.72	$85.72	$85.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $117.24 / $387.43	Professional		$74.59	$117.24	$387.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $98.57 / $175.37	Professional		$64.06	$98.57	$175.37