Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $6,467.98	Facility		$2,073.07	$2,073.07	$6,467.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $2,073.07	Professional		$2,073.07	$2,073.07	$2,073.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.67 / $2,202.64 / $2,202.64	Professional		$710.67	$2,202.64	$2,202.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $2,591.34 / $5,768.32	Facility		$2,073.07	$2,591.34	$5,768.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,190.44 / $2,628.54	Professional		$2,073.07	$2,190.44	$2,628.54
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 $2,159.44 / $2,159.44 / $2,291.17	Professional		$2,159.44	$2,159.44	$2,291.17