Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.82 / $194.82 / $196.73	Facility		$194.82	$194.82	$196.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $177.63 / $196.73	Professional		$72.00	$177.63	$196.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $261.25	Professional		$68.73	$68.73	$261.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.82 / $194.82 / $194.82	Facility		$194.82	$194.82	$194.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $194.82 / $248.30	Professional		$75.05	$194.82	$248.30
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 $81.00 / $101.86 / $148.50	Professional		$81.00	$101.86	$148.50