Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $116.00	Facility		$116.00	$116.00	$116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $123.25	Professional		$116.00	$116.00	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $145.00 / $159.50	Facility		$116.00	$145.00	$159.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $145.00 / $181.25	Professional		$116.00	$145.00	$181.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00