Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Facility		$78.37	$78.37	$78.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $78.37 / $78.37	Professional		$76.09	$78.37	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $111.73	Professional		$76.09	$76.09	$111.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $78.37 / $208.92	Facility		$76.09	$78.37	$208.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $95.11	Professional		$76.09	$76.09	$95.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $102.72 / $129.52	Professional		$30.00	$102.72	$129.52
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $80.73	Professional		$76.09	$76.09	$80.73