Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Facility		$1,195.20	$1,195.20	$1,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,269.90	Professional		$1,195.20	$1,195.20	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $1,269.90 / $1,361.70	Professional		$329.25	$1,269.90	$1,361.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,319.70 / $1,602.00	Facility		$1,195.20	$1,319.70	$1,602.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,319.70 / $1,583.64	Professional		$1,195.20	$1,319.70	$1,583.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,320.95	Professional		$1,245.00	$1,245.00	$1,320.95