Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Facility		$129.33	$129.33	$129.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $129.33 / $190.57	Professional		$114.30	$129.33	$190.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $220.76 / $241.81	Professional		$220.76	$220.76	$241.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Facility		$129.33	$129.33	$129.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $129.33 / $129.33	Professional		$124.63	$129.33	$129.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00