Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.61 / $891.06 / $5,785.26	Facility		$651.61	$891.06	$5,785.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $287.68 / $287.68 / $445.53	Facility	52	$287.68	$287.68	$445.53
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $431.52 / $431.52 / $668.29	Facility	54	$431.52	$431.52	$668.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.33 / $690.06 / $751.83	Facility		$619.33	$690.06	$751.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $664.73 / $664.73	Facility		$664.73	$664.73	$664.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27