Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $840.00 / $1,107.52	Facility		$800.00	$840.00	$1,107.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $992.00	Professional		$35.00	$52.00	$992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,440.00 / $2,190.00	Professional		$712.50	$1,440.00	$2,190.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $832.00 / $1,107.52	Facility		$832.00	$832.00	$1,107.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $840.00 / $1,152.00	Professional		$52.00	$840.00	$1,152.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $141.27 / $320.54	Professional		$75.00	$141.27	$320.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.00 / $85.00	Professional		$42.00	$55.00	$85.00