Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.05 / $512.24 / $1,200.00	Facility		$323.05	$512.24	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $242.29 / $260.99 / $414.62	Facility	54	$242.29	$260.99	$414.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $347.99 / $537.04	Professional		$291.82	$347.99	$537.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.54 / $396.70 / $432.20	Facility		$360.54	$396.70	$432.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $384.18 / $384.18	Professional		$212.69	$384.18	$384.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.13 / $578.13 / $578.13	Facility		$578.13	$578.13	$578.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.56 / $467.87 / $970.13	Professional		$334.56	$467.87	$970.13
United Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $412.79 / $552.83	Professional		$262.68	$412.79	$552.83