Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.51 / $595.52 / $1,200.00	Facility		$378.51	$595.52	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $283.88 / $287.22 / $449.99	Facility	54	$283.88	$287.22	$449.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.51 / $417.82 / $579.90	Professional		$378.51	$417.82	$579.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.29 / $461.18 / $502.47	Facility		$415.29	$461.18	$502.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $446.64 / $446.64	Professional		$231.01	$446.64	$446.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.91 / $665.91 / $665.91	Facility		$665.91	$665.91	$665.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.49 / $552.07 / $1,084.56	Professional		$379.49	$552.07	$1,084.56
United Facility/Professional Professional Modifier Low / Median / High Price $298.80 / $498.49 / $859.58	Professional		$298.80	$498.49	$859.58