Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $22.91	Facility		$15.14	$17.38	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $154.88	Professional		$70.79	$89.13	$154.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $87.10	Professional		$22.91	$29.51	$87.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $154.88	Professional		$70.79	$70.79	$154.88