Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $234.00	Facility		$75.00	$75.00	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $90.04	Professional		$79.50	$79.50	$90.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $131.25 / $234.00	Facility		$75.00	$131.25	$234.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.94 / $93.52	Professional		$75.00	$77.94	$93.52
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 $90.69 / $90.69 / $96.21	Professional		$90.69	$90.69	$96.21