Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $210.00 / $276.88	Facility		$200.00	$210.00	$276.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $52.00 / $248.00	Professional		$33.81	$52.00	$248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $734.22 / $1,260.00	Professional		$142.50	$734.22	$1,260.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $276.88	Facility		$208.00	$208.00	$276.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $210.00 / $288.00	Professional		$52.00	$210.00	$288.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $65.30 / $75.00	Professional		$28.25	$65.30	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $54.00 / $83.00	Professional		$42.00	$54.00	$83.00