Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.36 / $251.36 / $251.36	Facility		$251.36	$251.36	$251.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $251.36 / $253.70	Professional		$215.28	$251.36	$253.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.10 / $287.10 / $312.51	Professional		$287.10	$287.10	$312.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.36 / $251.36 / $251.36	Facility		$251.36	$251.36	$251.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $251.36 / $251.36	Professional		$245.34	$251.36	$251.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $725.70 / $725.70	Professional		$55.00	$725.70	$725.70