Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $162.00 / $180.00	Facility		$144.00	$162.00	$180.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
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 $180.00 / $180.00 / $190.98	Professional		$180.00	$180.00	$190.98