Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Facility		$54.34	$54.34	$54.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $54.34 / $54.34	Professional		$42.53	$54.34	$54.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $89.88 / $99.10	Professional		$47.14	$89.88	$99.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Facility		$54.34	$54.34	$54.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $54.34 / $54.34	Professional		$46.57	$54.34	$54.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $109.80 / $109.80	Professional		$73.20	$109.80	$109.80