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 / $318.75	Professional		$250.00	$318.75	$318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,509.07 / $1,509.07 / $1,509.07	Facility		$1,509.07	$1,509.07	$1,509.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $344.35	Professional		$344.35	$344.35	$344.35
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 $280.16 / $318.75 / $425.00	Professional		$280.16	$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