Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $525.00 / $692.20	Facility		$500.00	$525.00	$692.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $620.00	Professional		$35.00	$52.00	$620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $1,062.00 / $1,680.00	Professional		$427.50	$1,062.00	$1,680.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $692.20	Facility		$520.00	$520.00	$692.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $525.00 / $720.00	Professional		$52.00	$525.00	$720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $84.76 / $192.92	Professional		$75.00	$84.76	$192.92
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $54.00 / $85.00	Professional		$42.00	$54.00	$85.00