Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.72 / $2,056.00 / $4,933.00	Facility		$358.72	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $358.72 / $991.05	Professional		$283.68	$358.72	$991.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.62 / $352.62 / $387.53	Professional		$352.62	$352.62	$387.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $452.21 / $2,056.00 / $4,933.00	Facility		$452.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $358.72 / $452.21 / $564.69	Professional		$358.72	$452.21	$564.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $246.72 / $333.07	Professional		$30.00	$246.72	$333.07
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $507.75 / $690.88	Professional		$394.10	$507.75	$690.88