Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $243.99 / $243.99	Facility		$243.99	$243.99	$243.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $243.99 / $331.83	Professional		$208.86	$243.99	$331.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $379.89 / $413.64	Professional		$379.89	$379.89	$413.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $243.99 / $243.99	Facility		$243.99	$243.99	$243.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $243.99 / $243.99	Professional		$238.18	$243.99	$243.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00