Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Facility		$275.70	$275.70	$275.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $275.70 / $328.28	Professional		$264.83	$275.70	$328.28
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 $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Professional		$226.63	$226.63	$226.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Professional		$275.70	$275.70	$275.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00