Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $401.62 / $2,299.42	Facility		$318.75	$401.62	$2,299.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $397.28	Professional		$250.00	$318.75	$397.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.64 / $975.64 / $975.64	Facility		$975.64	$975.64	$975.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $401.62 / $2,299.42	Facility		$318.75	$401.62	$2,299.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00