Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $563.00 / $563.00	Professional		$563.00	$563.00	$563.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $322.00 / $322.00	Professional		$322.00	$322.00	$322.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $542.29 / $542.29	Facility		$542.29	$542.29	$542.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $563.00 / $563.00	Professional		$563.00	$563.00	$563.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $65.00	Professional		$30.00	$30.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $126.36 / $126.36	Professional		$126.36	$126.36	$126.36