Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.98 / $738.00 / $1,200.00	Facility		$471.98	$738.00	$1,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $353.99 / $382.05 / $598.33	Facility	54	$353.99	$382.05	$598.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $511.60 / $777.87	Professional		$434.40	$511.60	$777.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $571.52 / $622.69	Facility		$513.53	$571.52	$622.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $553.50 / $553.50	Professional		$306.88	$553.50	$553.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.44 / $823.44 / $823.44	Facility		$823.44	$823.44	$823.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.27 / $698.06 / $1,453.69	Professional		$478.27	$698.06	$1,453.69
United Facility/Professional Professional Modifier Low / Median / High Price $390.50 / $594.10 / $822.71	Professional		$390.50	$594.10	$822.71