Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,867.91 / $2,867.91 / $2,867.91	Facility		$2,867.91	$2,867.91	$2,867.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,867.91 / $2,867.91	Professional		$2,784.38	$2,867.91	$2,867.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $2,784.38 / $2,784.38	Professional		$104.77	$2,784.38	$2,784.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $143.58 / $2,784.38 / $2,867.91	Facility		$143.58	$2,784.38	$2,867.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,341.25	Professional		$2,784.38	$2,784.38	$3,341.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $609.50 / $4,176.57	Professional		$92.65	$609.50	$4,176.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,341.26	Professional		$2,784.38	$2,784.38	$3,341.26