Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $404.12 / $1,400.00	Facility		$106.89	$404.12	$1,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.45 / $53.45 / $202.06	Facility	52	$53.45	$53.45	$202.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $128.38 / $462.63	Professional		$96.79	$128.38	$462.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $115.11 / $138.97	Facility		$106.30	$115.11	$138.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $123.53 / $123.53	Professional		$123.53	$123.53	$123.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $184.57 / $184.57	Facility		$184.57	$184.57	$184.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.66 / $147.66 / $147.66	Facility	52	$147.66	$147.66	$147.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $408.79 / $1,140.83	Professional		$123.53	$408.79	$1,140.83
United Facility/Professional Professional Modifier Low / Median / High Price $341.38 / $535.03 / $885.24	Professional		$341.38	$535.03	$885.24