Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.38 / $277.38 / $277.38	Facility		$277.38	$277.38	$277.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $251.27 / $277.38	Professional		$169.72	$251.27	$277.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.02 / $197.02 / $213.98	Professional		$197.02	$197.02	$213.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $277.38 / $277.38 / $277.38	Facility		$277.38	$277.38	$277.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $277.38 / $277.38	Professional		$184.66	$277.38	$277.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00