Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,365.00 / $1,799.72	Facility		$1,300.00	$1,365.00	$1,799.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $50.00 / $1,591.20	Professional		$33.81	$50.00	$1,591.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.50 / $2,000.00 / $3,485.60	Professional		$1,187.50	$2,000.00	$3,485.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,799.72	Facility		$1,352.00	$1,352.00	$1,799.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $1,365.00 / $1,872.00	Professional		$52.00	$1,365.00	$1,872.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $235.46 / $533.24	Professional		$75.00	$235.46	$533.24
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $54.00 / $85.00	Professional		$41.60	$54.00	$85.00