Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Facility		$104.69	$104.69	$104.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $104.69 / $104.69	Professional		$98.54	$104.69	$104.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $123.17 / $135.49	Facility		$104.69	$123.17	$135.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $123.17 / $150.22	Professional		$104.69	$123.17	$150.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00