Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $170.59 / $320.77	Facility		$135.38	$170.59	$320.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $135.38 / $171.00	Professional		$95.91	$135.38	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Facility		$123.40	$123.40	$123.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $167.86 / $413.75	Professional		$94.32	$167.86	$413.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $135.38 / $320.77	Facility		$44.09	$135.38	$320.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $61.85 / $150.28	Professional		$44.09	$61.85	$150.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75