Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Facility		$318.75	$318.75	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $425.63	Professional		$250.00	$318.75	$425.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.91 / $1,049.91 / $1,049.91	Facility		$1,049.91	$1,049.91	$1,049.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $1,035.86	Professional		$772.33	$772.33	$1,035.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Facility		$318.75	$318.75	$318.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.63	Professional		$318.75	$318.75	$425.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00