Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,110.04 / $4,110.04 / $4,268.12	Facility		$4,110.04	$4,110.04	$4,268.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,303.47 / $4,268.12	Professional		$961.45	$3,303.47	$4,268.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,379.71 / $4,113.39 / $6,275.55	Professional		$2,379.71	$4,113.39	$6,275.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.29 / $1,584.29 / $4,110.04	Facility		$1,584.29	$1,584.29	$4,110.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.29 / $1,686.09 / $4,110.04	Professional		$1,584.29	$1,686.09	$4,110.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,917.14 / $2,898.85 / $4,316.27	Professional		$1,917.14	$2,898.85	$4,316.27