Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $40.49 / $40.49	Facility		$40.49	$40.49	$40.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $40.49 / $40.49	Professional		$39.31	$40.49	$40.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $142.50	Professional		$39.31	$39.31	$142.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $40.49 / $202.50	Facility		$39.31	$40.49	$202.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $51.54	Professional		$39.31	$39.31	$51.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $58.96 / $667.11	Professional		$39.31	$58.96	$667.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $41.71	Professional		$39.31	$39.31	$41.71