Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $530.67	Facility		$170.09	$170.09	$530.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $180.72	Professional		$180.72	$180.72	$180.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $297.66 / $530.67	Facility		$170.09	$297.66	$530.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $176.75 / $212.10	Professional		$170.09	$176.75	$212.10
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 $180.30 / $180.30 / $191.28	Professional		$180.30	$180.30	$191.28