Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.14 / $209.14 / $209.14	Facility		$209.14	$209.14	$209.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $209.14 / $209.14	Professional		$163.59	$209.14	$209.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $154.24 / $168.40	Professional		$154.24	$154.24	$168.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $209.14 / $209.14 / $209.14	Facility		$209.14	$209.14	$209.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $209.14 / $209.14	Professional		$179.08	$209.14	$209.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00