Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $420.00 / $553.76	Facility		$400.00	$420.00	$553.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $496.00	Professional		$35.00	$52.00	$496.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $973.50 / $1,540.00	Professional		$332.50	$973.50	$1,540.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $416.00 / $553.76	Facility		$416.00	$416.00	$553.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $420.00 / $576.00	Professional		$52.00	$420.00	$576.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $75.00 / $150.38	Professional		$65.92	$75.00	$150.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $50.00 / $80.00	Professional		$42.00	$50.00	$80.00