Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $425.00 / $603.00	Professional		$250.00	$425.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $772.33	Professional		$772.33	$772.33	$772.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $603.00	Professional		$425.00	$425.00	$603.00
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 $368.12 / $368.12 / $368.12	Facility		$368.12	$368.12	$368.12