Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $221.83	Facility		$71.09	$71.09	$221.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Professional		$71.09	$71.09	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $124.43 / $221.83	Facility		$71.09	$124.43	$221.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $87.14 / $104.56	Professional		$71.09	$87.14	$104.56
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 $88.88 / $88.88 / $94.29	Professional		$88.88	$88.88	$94.29