Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $72.81	Facility		$72.81	$72.81	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $71.40 / $72.81	Professional		$70.70	$71.40	$72.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $95.15	Professional		$70.70	$70.70	$95.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $72.81	Facility		$70.70	$70.70	$72.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $92.70	Professional		$70.70	$70.70	$92.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $95.44 / $110.31	Professional		$30.00	$95.44	$110.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $84.84	Professional		$70.70	$70.70	$84.84