Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $76.89 / $76.89	Facility		$76.89	$76.89	$76.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $64.48 / $90.71	Professional		$30.10	$64.48	$90.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $175.95 / $175.95	Facility		$175.95	$175.95	$175.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $105.10 / $241.30	Professional		$46.21	$105.10	$241.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $146.34 / $180.44	Facility		$76.89	$146.34	$180.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $90.71 / $180.44	Professional		$36.36	$90.71	$180.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00