Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $161.50	Professional		$152.00	$152.00	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $161.50 / $161.50	Professional		$67.29	$161.50	$161.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $75.80 / $190.00	Facility		$65.92	$75.80	$190.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $152.00	Professional		$65.92	$65.92	$152.00
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 $167.51 / $167.51 / $180.54	Professional		$167.51	$167.51	$180.54