Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $315.00 / $415.32	Facility		$300.00	$315.00	$415.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $372.00	Professional		$35.00	$52.00	$372.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $815.80 / $1,400.00	Professional		$237.50	$815.80	$1,400.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $415.32	Facility		$312.00	$312.00	$415.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $315.00 / $432.00	Professional		$52.00	$315.00	$432.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $75.00 / $107.84	Professional		$47.09	$75.00	$107.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $53.55 / $85.00	Professional		$42.00	$53.55	$85.00