Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Facility		$82.44	$82.44	$82.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $82.44 / $82.44	Professional		$80.04	$82.44	$82.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $247.35	Professional		$80.04	$80.04	$247.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $82.44 / $291.00	Facility		$80.04	$82.44	$291.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $108.05	Professional		$80.04	$80.04	$108.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $120.06	Professional		$30.00	$55.00	$120.06
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $84.92	Professional		$80.04	$80.04	$84.92