Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $262.50 / $346.10	Facility		$250.00	$262.50	$346.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $310.00	Professional		$35.00	$52.00	$310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $1,140.00 / $1,655.66	Professional		$779.00	$1,140.00	$1,655.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $346.10	Facility		$260.00	$260.00	$346.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $262.50 / $360.00	Professional		$52.00	$262.50	$360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $75.00 / $86.57	Professional		$37.67	$75.00	$86.57
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $54.00 / $83.00	Professional		$42.00	$54.00	$83.00