Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $103.34 / $103.34	Professional		$103.34	$103.34	$103.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.25 / $81.25 / $81.25	Facility		$81.25	$81.25	$81.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $81.25 / $97.50	Professional		$81.25	$81.25	$97.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00