Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $48.03 / $149.85	Facility		$44.55	$48.03	$149.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $44.55 / $48.03	Professional		$44.55	$44.55	$48.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $47.34 / $58.25	Professional		$9.68	$47.34	$58.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $84.05 / $133.63	Facility		$48.03	$84.05	$133.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $51.24 / $61.48	Professional		$44.55	$51.24	$61.48
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 $46.41 / $46.41 / $50.03	Professional		$46.41	$46.41	$50.03