Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $381.64 / $381.64	Facility		$381.64	$381.64	$381.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $381.64 / $703.93	Professional		$326.75	$381.64	$703.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.03 / $788.03 / $858.10	Professional		$788.03	$788.03	$858.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $381.64 / $381.64	Facility		$381.64	$381.64	$381.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $372.53 / $381.64 / $381.64	Professional		$372.53	$381.64	$381.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00