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 / $425.00	Professional		$250.00	$318.75	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.19 / $1,040.19 / $1,040.19	Facility		$1,040.19	$1,040.19	$1,040.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $700.00 / $1,211.13	Professional		$550.00	$700.00	$1,211.13
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 $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