Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.54 / $1,395.90 / $1,395.90	Facility		$163.54	$1,395.90	$1,395.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.61 / $55.61 / $81.77	Facility	52	$55.61	$55.61	$81.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $165.98 / $242.69	Professional		$111.22	$165.98	$242.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $135.13 / $147.22	Facility		$122.01	$135.13	$147.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Professional		$130.86	$130.86	$130.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.65 / $195.65 / $195.65	Facility		$195.65	$195.65	$195.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $156.52 / $156.52 / $156.52	Facility	52	$156.52	$156.52	$156.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $216.69 / $542.59	Professional		$130.86	$216.69	$542.59
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $211.79 / $373.72	Professional		$131.16	$211.79	$373.72