Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.32 / $178.98 / $238.64	Facility		$119.32	$178.98	$238.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $119.32 / $612.14	Professional		$73.45	$119.32	$612.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $33.15 / $41.44	Professional		$30.91	$33.15	$41.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.32 / $281.89 / $942.54	Facility		$119.32	$281.89	$942.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $942.54 / $1,129.63	Professional		$119.32	$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 $481.68 / $1,004.73 / $1,409.66	Professional		$481.68	$1,004.73	$1,409.66