Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $1,170.11	Facility		$318.75	$318.75	$1,170.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $342.08	Professional		$250.00	$318.75	$342.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.33 / $1,236.33 / $1,236.33	Facility		$1,236.33	$1,236.33	$1,236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.07 / $1,761.84 / $1,761.84	Professional		$1,189.07	$1,761.84	$1,761.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $1,170.11	Facility		$318.75	$318.75	$1,170.11
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
United Facility/Professional Facility Modifier Low / Median / High Price $368.12 / $368.12 / $368.12	Facility		$368.12	$368.12	$368.12