Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $276.38 / $2,481.36	Facility		$95.28	$276.38	$2,481.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.31 / $66.06 / $181.39	Facility	52	$43.31	$66.06	$181.39
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.32 / $26.43 / $72.56	Facility	53	$17.32	$26.43	$72.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $166.51 / $307.79	Professional		$86.24	$166.51	$307.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $102.34 / $111.50	Facility		$92.05	$102.34	$111.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $99.11 / $257.54	Professional		$99.11	$99.11	$257.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $243.61 / $489.90	Professional		$97.42	$243.61	$489.90
United Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $256.89 / $388.50	Professional		$178.70	$256.89	$388.50