Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $59.13 / $177.59	Facility		$56.92	$59.13	$177.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $58.64 / $71.76	Professional		$55.20	$58.64	$71.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $68.44	Professional		$49.22	$49.22	$68.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $73.91 / $177.59	Facility		$56.74	$73.91	$177.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $56.92 / $68.08	Professional		$55.20	$56.92	$68.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $17.84	Professional		$6.49	$16.22	$17.84