Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.99 / $412.99 / $412.99	Facility		$412.99	$412.99	$412.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $446.74	Professional		$412.99	$412.99	$446.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $438.75 / $438.75	Facility		$438.75	$438.75	$438.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $429.67	Professional		$412.99	$412.99	$429.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00