Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $559.62 / $2,686.89	Facility		$318.75	$559.62	$2,686.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $400.04	Professional		$250.00	$318.75	$400.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.52 / $1,379.52 / $1,379.52	Facility		$1,379.52	$1,379.52	$1,379.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $678.83 / $2,842.22	Facility		$318.75	$678.83	$2,842.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $478.13	Professional		$318.75	$318.75	$478.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00