Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $92.09 / $92.09	Facility		$92.09	$92.09	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $92.09 / $92.09	Professional		$89.41	$92.09	$92.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $191.25	Professional		$89.41	$89.41	$191.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $92.09 / $225.00	Facility		$89.41	$92.09	$225.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $107.29	Professional		$89.41	$89.41	$107.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $120.70 / $139.66	Professional		$30.00	$120.70	$139.66
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $96.37	Professional		$89.41	$89.41	$96.37