Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $103.02 / $104.03	Facility		$103.02	$103.02	$104.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $93.93 / $104.03	Professional		$48.00	$93.93	$104.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $118.46	Professional		$45.92	$45.92	$118.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Facility		$103.02	$103.02	$103.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $103.02 / $131.30	Professional		$50.14	$103.02	$131.30
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 $54.00 / $68.67 / $99.00	Professional		$54.00	$68.67	$99.00