Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $577.50 / $761.42	Facility		$550.00	$577.50	$761.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $682.00	Professional		$35.00	$52.00	$682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $1,106.25 / $1,750.00	Professional		$475.00	$1,106.25	$1,750.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $761.42	Facility		$572.00	$572.00	$761.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $577.50 / $792.00	Professional		$52.00	$577.50	$792.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.18 / $214.19	Professional		$75.00	$94.18	$214.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $53.06 / $82.00	Professional		$42.00	$53.06	$82.00