Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $2,800.00	Facility		$1,120.00	$1,120.00	$2,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,190.00	Professional		$1,120.00	$1,120.00	$1,190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $1,190.00	Professional		$659.12	$659.12	$1,190.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,372.55 / $2,800.00	Facility		$1,120.00	$1,372.55	$2,800.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,372.55 / $1,647.06	Professional		$1,120.00	$1,372.55	$1,647.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,485.40	Professional		$1,400.00	$1,400.00	$1,485.40