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 $33.81 / $48.00 / $290.00	Professional		$33.81	$48.00	$290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $775.01 / $1,330.00	Professional		$190.00	$775.01	$1,330.00
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 / $260.00 / $360.00	Professional		$52.00	$260.00	$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 / $50.00 / $80.00	Professional		$42.00	$50.00	$80.00