Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,453.95 / $3,050.00	Facility		$1,400.00	$1,453.95	$3,050.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $726.98 / $726.98 / $1,126.55	Facility	52	$726.98	$726.98	$1,126.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,553.19 / $1,744.86 / $1,901.06	Facility		$1,553.19	$1,744.86	$1,901.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $1,659.29 / $1,659.29	Facility		$1,659.29	$1,659.29	$1,659.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00