Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,133.66 / $6,133.66 / $6,133.66	Facility		$6,133.66	$6,133.66	$6,133.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6,133.66 / $6,133.66 / $6,133.66	Facility		$6,133.66	$6,133.66	$6,133.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00