Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $117.30 / $118.45	Facility		$117.30	$117.30	$118.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $106.95 / $118.45	Professional		$40.00	$106.95	$118.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $134.75	Professional		$38.22	$38.22	$134.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $117.30 / $117.30	Facility		$117.30	$117.30	$117.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $117.30 / $149.50	Professional		$41.73	$117.30	$149.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $56.68 / $87.50	Professional		$45.00	$56.68	$87.50