Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $142.06 / $142.06	Professional		$137.93	$142.06	$142.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $165.74	Professional		$137.93	$137.93	$165.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $142.06	Facility		$137.93	$137.93	$142.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $165.51	Professional		$137.93	$137.93	$165.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $162.90 / $206.89	Professional		$30.00	$162.90	$206.89
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $148.66	Professional		$137.93	$137.93	$148.66