Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $130.69	Professional		$78.12	$112.32	$130.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $40.58 / $43.99	Professional		$33.02	$40.58	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $112.32 / $112.32	Professional		$83.00	$112.32	$112.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00