Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.33 / $329.33 / $329.33	Facility		$329.33	$329.33	$329.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $329.33 / $363.86	Professional		$282.07	$329.33	$363.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.64 / $464.64 / $505.22	Professional		$464.64	$464.64	$505.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $329.33 / $329.33 / $329.33	Facility		$329.33	$329.33	$329.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $321.44 / $329.33 / $329.33	Professional		$321.44	$329.33	$329.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00