Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $85.00	Professional		$80.00	$80.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $85.00	Professional		$80.00	$80.00	$85.00
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 $160.91 / $160.91 / $173.44	Professional		$160.91	$160.91	$173.44