Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $98.74 / $138.22	Facility		$78.98	$98.74	$138.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $83.93	Professional		$78.98	$78.98	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $87.05 / $104.30	Professional		$82.95	$87.05	$104.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $154.03 / $219.79	Facility		$77.43	$154.03	$219.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $78.98 / $98.34	Professional		$77.43	$78.98	$98.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $109.92 / $119.48	Professional		$98.74	$109.92	$119.48