Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $731.17 / $1,200.00	Facility		$466.44	$731.17	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.83 / $356.29 / $557.08	Facility	54	$349.83	$356.29	$557.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $520.94 / $712.78	Professional		$440.11	$520.94	$712.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $566.23 / $616.91	Facility		$510.51	$566.23	$616.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $548.38 / $548.38	Professional		$285.77	$548.38	$548.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.60 / $818.60 / $818.60	Facility		$818.60	$818.60	$818.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.57 / $666.31 / $1,326.69	Professional		$468.57	$666.31	$1,326.69
United Facility/Professional Professional Modifier Low / Median / High Price $359.35 / $564.69 / $761.57	Professional		$359.35	$564.69	$761.57