Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $362.94 / $1,200.00	Facility		$227.35	$362.94	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $170.51 / $172.96 / $273.89	Facility	54	$170.51	$172.96	$273.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $255.71 / $340.05	Professional		$201.12	$255.71	$340.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.25 / $281.08 / $306.23	Facility		$255.25	$281.08	$306.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $272.20 / $272.20	Professional		$140.40	$272.20	$272.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.29 / $409.29 / $409.29	Facility		$409.29	$409.29	$409.29
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $303.57 / $621.25	Professional		$229.72	$303.57	$621.25
United Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $258.17 / $386.58	Professional		$168.71	$258.17	$386.58