Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $173.21 / $1,498.61	Facility		$137.46	$173.21	$1,498.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $1,263.35	Professional		$137.47	$137.47	$1,263.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $173.21 / $3,443.56	Facility		$137.46	$173.21	$3,443.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $529.04	Professional		$137.47	$137.47	$529.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00