Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.12 / $716.67 / $1,400.00	Facility		$457.12	$716.67	$1,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $342.84 / $342.84 / $537.50	Facility	54	$342.84	$342.84	$537.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.12 / $498.64 / $690.98	Professional		$457.12	$498.64	$690.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $555.01 / $604.69	Facility		$500.14	$555.01	$604.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $537.50 / $537.50	Professional		$275.81	$537.50	$537.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $539.75 / $539.75	Facility		$539.75	$539.75	$539.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.93 / $646.08 / $1,291.11	Professional		$457.93	$646.08	$1,291.11
United Facility/Professional Professional Modifier Low / Median / High Price $345.83 / $543.44 / $739.32	Professional		$345.83	$543.44	$739.32