Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $114.49 / $114.49	Facility		$114.49	$114.49	$114.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $114.49 / $114.49	Professional		$111.15	$114.49	$114.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $423.38	Professional		$111.15	$111.15	$423.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $114.49	Facility		$111.15	$111.15	$114.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $150.05	Professional		$111.15	$111.15	$150.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $143.28 / $365.66	Professional		$30.00	$143.28	$365.66
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $119.80	Professional		$111.15	$111.15	$119.80