Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.11 / $290.61 / $290.61	Facility		$213.11	$290.61	$290.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $232.49 / $232.49	Professional		$232.49	$232.49	$232.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $379.93 / $379.93	Facility		$70.00	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $379.93 / $379.93	Professional		$277.35	$379.93	$379.93