Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $2,496.00	Facility		$800.00	$800.00	$2,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $850.00	Professional		$212.00	$212.00	$850.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.84 / $1,400.00 / $2,496.00	Facility		$207.84	$1,400.00	$2,496.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.84 / $249.40 / $800.00	Professional		$207.84	$249.40	$800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $224.93	Professional		$212.00	$212.00	$224.93