Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $89.90 / $279.39	Facility		$89.55	$89.90	$279.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $89.90 / $105.20	Professional		$87.28	$89.90	$105.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $87.28 / $87.28	Professional		$75.04	$87.28	$87.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $111.94 / $249.17	Facility		$87.28	$111.94	$249.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $89.55 / $104.73	Professional		$87.28	$89.55	$104.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $127.20 / $130.91	Professional		$30.00	$127.20	$130.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $92.60	Professional		$87.28	$87.28	$92.60