Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $49.93 / $49.93	Facility		$49.93	$49.93	$49.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $49.93 / $68.52	Professional		$42.69	$49.93	$68.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $80.31	Professional		$73.31	$73.31	$80.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $49.93 / $49.93	Facility		$49.93	$49.93	$49.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $49.93 / $68.19	Professional		$46.93	$49.93	$68.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $118.00 / $177.00	Professional		$30.00	$118.00	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $110.00 / $139.00	Professional		$94.00	$110.00	$139.00