Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.07 / $4,933.00 / $4,933.00	Facility		$225.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $225.07 / $303.38	Professional		$192.80	$225.07	$303.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $534.89 / $581.62	Professional		$534.89	$534.89	$581.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $225.07 / $4,933.00 / $4,933.00	Facility		$225.07	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $225.07 / $303.38	Professional		$219.67	$225.07	$303.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00