Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $112.00 / $116.40	Professional		$88.74	$112.00	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00