Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.75 / $515.75 / $515.75	Facility		$515.75	$515.75	$515.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $503.44 / $515.75	Professional		$89.23	$503.44	$515.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $96.22 / $104.18	Professional		$96.22	$96.22	$104.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $515.75 / $515.75 / $515.75	Facility		$515.75	$515.75	$515.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $515.75 / $520.54	Professional		$89.23	$515.75	$520.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00