Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.52 / $656.82 / $1,400.00	Facility		$417.52	$656.82	$1,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.14 / $342.09 / $538.45	Facility	54	$313.14	$342.09	$538.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.52 / $468.54 / $693.06	Professional		$417.52	$468.54	$693.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.66 / $508.66 / $554.19	Facility		$508.66	$508.66	$554.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.20 / $492.61 / $492.61	Professional		$276.20	$492.61	$492.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.07 / $736.07 / $736.07	Facility		$736.07	$736.07	$736.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.69 / $620.69 / $1,275.51	Professional		$428.69	$620.69	$1,275.51
United Facility/Professional Professional Modifier Low / Median / High Price $360.35 / $567.66 / $720.71	Professional		$360.35	$567.66	$720.71