Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $166.83 / $166.83	Facility		$166.83	$166.83	$166.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $166.83 / $177.26	Professional		$166.83	$166.83	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $208.54 / $229.39	Facility		$166.83	$208.54	$229.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $208.54 / $260.67	Professional		$166.83	$208.54	$260.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00