Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $142.05 / $189.40	Facility		$94.70	$142.05	$189.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $94.70 / $218.10	Professional		$67.45	$94.70	$218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $57.67 / $166.83	Professional		$47.80	$57.67	$166.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $223.73 / $942.54	Facility		$94.70	$223.73	$942.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $942.54 / $1,093.33	Professional		$94.70	$942.54	$1,093.33
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 $232.40 / $834.54 / $1,136.83	Professional		$232.40	$834.54	$1,136.83