Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.53 / $683.53 / $683.53	Facility		$683.53	$683.53	$683.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $683.53 / $683.53	Professional		$663.63	$683.53	$683.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $663.63 / $813.56	Professional		$272.00	$663.63	$813.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $663.63 / $683.53	Facility		$288.00	$663.63	$683.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $829.53	Professional		$663.63	$663.63	$829.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $995.44 / $1,079.05	Professional		$30.00	$995.44	$1,079.05
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $715.26	Professional		$663.63	$663.63	$715.26