Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.33 / $189.33 / $189.33	Facility		$189.33	$189.33	$189.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $189.33 / $195.62	Professional		$165.77	$189.33	$195.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $191.28 / $208.35	Professional		$191.28	$191.28	$208.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $189.33 / $189.33 / $189.33	Facility		$189.33	$189.33	$189.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $189.33 / $194.16	Professional		$168.39	$189.33	$194.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00