Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $334.68 / $3,654.29	Facility		$318.75	$334.68	$3,654.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $425.00	Professional		$250.00	$318.75	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.01 / $1,023.01 / $1,023.01	Facility		$1,023.01	$1,023.01	$1,023.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $1,471.54 / $1,471.54	Professional		$772.33	$1,471.54	$1,471.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $401.62 / $3,644.97	Facility		$318.75	$401.62	$3,644.97
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 $260.33 / $480.61 / $1,005.28	Facility		$260.33	$480.61	$1,005.28