Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.68 / $247.68 / $1,400.00	Facility		$247.68	$247.68	$1,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.84 / $123.84 / $188.46	Facility	52	$123.84	$123.84	$188.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $291.91 / $318.02	Facility		$255.05	$291.91	$318.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $273.83	Facility		$273.83	$273.83	$273.83
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66