Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $73.70 / $73.70	Facility		$73.70	$73.70	$73.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $73.70 / $73.70	Professional		$71.55	$73.70	$73.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $71.55 / $71.55	Professional		$40.61	$71.55	$71.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $73.70 / $107.32	Facility		$71.55	$73.70	$107.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $92.02	Professional		$71.55	$71.55	$92.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $78.70 / $96.59	Professional		$71.55	$78.70	$96.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.91	Professional		$71.55	$71.55	$75.91