Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.65 / $216.65 / $1,400.00	Facility		$216.65	$216.65	$1,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.33 / $108.33 / $108.33	Facility	52	$108.33	$108.33	$108.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.56 / $259.86 / $283.12	Facility		$225.56	$259.86	$283.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.77 / $242.77 / $242.77	Facility		$242.77	$242.77	$242.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $188.19 / $188.19 / $188.19	Facility	52	$188.19	$188.19	$188.19
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $147.03 / $147.03 / $147.03	Facility	62	$147.03	$147.03	$147.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.52 / $23.52 / $23.52	Facility	AS	$23.52	$23.52	$23.52