Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $77.47 / $77.47	Facility		$77.47	$77.47	$77.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $77.47 / $89.86	Professional		$48.85	$77.47	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $77.47 / $77.47	Facility		$77.47	$77.47	$77.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $77.47 / $87.64	Professional		$54.46	$77.47	$87.64
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 Facility Modifier Low / Median / High Price $2,152.00 / $4,809.00 / $6,036.00	Facility		$2,152.00	$4,809.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $95.68 / $143.43	Professional		$81.94	$95.68	$143.43