Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.65 / $187.65 / $187.65	Facility		$187.65	$187.65	$187.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $187.65 / $187.65	Professional		$182.18	$187.65	$187.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $380.38	Professional		$182.18	$182.18	$380.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $187.65 / $447.50	Facility		$182.18	$187.65	$447.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $218.61	Professional		$182.18	$182.18	$218.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $227.72 / $273.27	Professional		$182.18	$227.72	$273.27
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $196.35	Professional		$182.18	$182.18	$196.35