Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $99.53 / $99.53	Facility		$99.53	$99.53	$99.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $99.53 / $99.53	Professional		$90.10	$99.53	$99.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $106.89 / $116.34	Professional		$106.89	$106.89	$116.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $99.53 / $99.53	Facility		$99.53	$99.53	$99.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $99.53 / $99.53	Professional		$92.17	$99.53	$99.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $249.60	Professional		$30.00	$50.00	$249.60