Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $119.34 / $119.34	Facility		$119.34	$119.34	$119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $119.34 / $139.16	Professional		$102.18	$119.34	$139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.88 / $182.88 / $199.66	Professional		$182.88	$182.88	$199.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $119.34 / $119.34	Facility		$119.34	$119.34	$119.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $119.34 / $119.34	Professional		$116.49	$119.34	$119.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00