Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.96 / $674.96 / $674.96	Facility		$674.96	$674.96	$674.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $674.96 / $674.96	Professional		$655.29	$674.96	$674.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,197.38	Professional		$655.29	$655.29	$1,197.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $674.96	Facility		$655.29	$655.29	$674.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $859.29	Professional		$655.29	$655.29	$859.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $982.95 / $1,410.22	Professional		$30.00	$982.95	$1,410.22
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $706.28	Professional		$655.29	$655.29	$706.28