Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.89 / $354.89 / $358.37	Facility		$354.89	$354.89	$358.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $354.89 / $395.89	Professional		$325.38	$354.89	$395.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $48.26 / $48.26	Facility		$48.26	$48.26	$48.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.25 / $443.25 / $554.05	Professional		$443.25	$443.25	$554.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $328.50 / $410.62	Professional		$269.06	$328.50	$410.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.47 / $388.46 / $468.26	Professional		$315.47	$388.46	$468.26