Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Facility		$254.94	$254.94	$254.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $254.94	Professional		$17.60	$254.94	$254.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Facility		$254.94	$254.94	$254.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Professional		$254.94	$254.94	$254.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00