Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.76 / $853.76 / $3,050.00	Facility		$853.76	$853.76	$3,050.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $640.32 / $640.32 / $640.32	Facility	54	$640.32	$640.32	$640.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.49 / $853.76 / $1,489.55	Professional		$723.49	$853.76	$1,489.55
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $108.52 / $128.06 / $223.43	Professional	55	$108.52	$128.06	$223.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.81 / $960.28 / $1,046.24	Facility		$881.81	$960.28	$1,046.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.14 / $880.25 / $1,040.30	Professional		$811.14	$880.25	$1,040.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.72 / $949.72 / $949.72	Facility		$949.72	$949.72	$949.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $662.09 / $662.09 / $662.09	Facility	54	$662.09	$662.09	$662.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.83 / $1,084.98 / $3,952.30	Professional		$763.83	$1,084.98	$3,952.30
United Facility/Professional Professional Modifier Low / Median / High Price $672.94 / $1,068.18 / $1,547.25	Professional		$672.94	$1,068.18	$1,547.25