Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $99.97 / $1,400.00	Facility		$56.71	$99.97	$1,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.36 / $28.36 / $49.98	Facility	52	$28.36	$28.36	$49.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $61.01 / $134.26	Professional		$56.71	$61.01	$134.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $84.35 / $116.12	Facility		$69.48	$84.35	$116.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $74.98 / $74.98	Professional		$38.43	$74.98	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $72.65 / $72.65	Facility		$72.65	$72.65	$72.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $99.62 / $283.68	Professional		$61.40	$99.62	$283.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $95.45 / $229.80	Professional		$50.89	$95.45	$229.80