Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,760.00	Facility		$1,760.00	$1,760.00	$1,760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,870.00	Professional		$1,760.00	$1,760.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,994.31	Professional		$1,870.00	$1,870.00	$1,994.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $2,111.63 / $2,346.25	Facility		$1,760.00	$2,111.63	$2,346.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,870.00	Professional		$1,760.00	$1,760.00	$1,870.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,371.16	Professional		$2,200.00	$2,200.00	$2,371.16