Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.31 / $2,295.00 / $5,641.31	Facility		$402.31	$2,295.00	$5,641.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $3,306.43	Professional		$402.32	$402.32	$3,306.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $402.31 / $2,727.17 / $6,116.67	Facility		$402.31	$2,727.17	$6,116.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $402.32	Professional		$402.32	$402.32	$402.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00