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 $1,012.87 / $1,012.87 / $1,012.87	Facility		$1,012.87	$1,012.87	$1,012.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $1,033.09	Professional		$772.33	$772.33	$1,033.09
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 $279.00 / $318.75 / $425.00	Professional		$279.00	$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 $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13