Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.52 / $307.83 / $359.14	Facility		$244.52	$307.83	$359.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.28 / $246.28 / $266.75	Professional		$246.28	$246.28	$266.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $263.02 / $263.02	Facility		$70.00	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $263.02 / $263.02	Professional		$192.01	$263.02	$263.02