Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $293.08 / $390.78	Facility		$195.39	$293.08	$390.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $195.39 / $612.14	Professional		$139.22	$195.39	$612.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $129.28 / $161.60	Professional		$120.50	$129.28	$161.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $461.61 / $942.54	Facility		$195.39	$461.61	$942.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $942.54 / $1,129.63	Professional		$195.39	$942.54	$1,129.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.07 / $1,004.73 / $1,500.61	Professional		$653.07	$1,004.73	$1,500.61