Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.08 / $827.08 / $2,300.00	Facility		$827.08	$827.08	$2,300.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $620.30 / $620.30 / $620.30	Facility	54	$620.30	$620.30	$620.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $793.19 / $1,384.45	Professional		$616.03	$793.19	$1,384.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.91 / $911.06 / $992.63	Facility		$840.91	$911.06	$992.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.36 / $835.14 / $986.99	Professional		$776.36	$835.14	$986.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.34 / $925.34 / $925.34	Facility		$925.34	$925.34	$925.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $647.74 / $647.74 / $647.74	Facility	54	$647.74	$647.74	$647.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.71 / $955.86 / $4,184.75	Professional		$708.71	$955.86	$4,184.75
United Facility/Professional Professional Modifier Low / Median / High Price $585.86 / $818.94 / $1,176.45	Professional		$585.86	$818.94	$1,176.45