Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $105.00 / $138.44	Facility		$100.00	$105.00	$138.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $140.00	Professional		$38.00	$52.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $63.00 / $110.00	Professional		$40.00	$63.00	$110.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $104.00 / $138.44	Facility		$76.56	$104.00	$138.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $100.00 / $144.54	Professional		$49.00	$100.00	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00