Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $323.05	Facility		$103.54	$103.54	$323.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Professional		$103.54	$103.54	$103.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $124.13	Professional		$110.01	$110.01	$124.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $181.20 / $323.05	Facility		$103.54	$181.20	$323.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $109.65 / $131.58	Professional		$103.54	$109.65	$131.58
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 $129.41 / $129.41 / $137.30	Professional		$129.41	$129.41	$137.30