Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.93 / $1,400.00 / $2,300.00	Facility		$1,094.93	$1,400.00	$2,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $547.47 / $547.47 / $837.67	Facility	52	$547.47	$547.47	$837.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.25 / $1,297.43 / $1,413.57	Facility		$1,140.25	$1,297.43	$1,413.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.08 / $1,219.08 / $1,219.08	Facility		$1,219.08	$1,219.08	$1,219.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00