Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Facility		$143.55	$143.55	$143.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $143.55 / $143.55	Professional		$112.30	$143.55	$143.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $107.22	Professional		$98.49	$98.49	$107.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Facility		$143.55	$143.55	$143.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $143.55 / $143.55	Professional		$122.94	$143.55	$143.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00