Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $379.07 / $1,600.00	Facility		$252.28	$379.07	$1,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.14 / $126.14 / $189.54	Facility	52	$126.14	$126.14	$189.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.46 / $50.46 / $75.81	Facility	53	$50.46	$50.46	$75.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $293.57 / $319.83	Facility		$263.70	$293.57	$319.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $283.45	Facility		$283.45	$283.45	$283.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25