Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Facility		$80.51	$80.51	$80.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $80.51 / $80.51	Professional		$78.17	$80.51	$80.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $105.42	Professional		$78.17	$78.17	$105.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $78.17 / $80.51	Facility		$78.17	$78.17	$80.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $93.80	Professional		$78.17	$78.17	$93.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $111.72 / $127.29	Professional		$30.00	$111.72	$127.29
United Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $84.25	Professional		$78.17	$78.17	$84.25