Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Facility		$52.24	$52.24	$52.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $52.24 / $52.24	Professional		$50.72	$52.24	$52.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $97.75	Professional		$50.71	$50.71	$97.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $52.24 / $115.00	Facility		$50.72	$52.24	$115.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $60.86	Professional		$50.72	$50.72	$60.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $68.11 / $81.93	Professional		$30.00	$68.11	$81.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $53.81	Professional		$50.72	$50.72	$53.81