Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,802.91 / $3,802.91 / $3,802.91	Facility		$3,802.91	$3,802.91	$3,802.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,802.91 / $3,802.91	Professional		$3,692.14	$3,802.91	$3,802.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.34 / $3,692.14 / $3,692.14	Professional		$3,228.34	$3,692.14	$3,692.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,802.91	Facility		$3,692.14	$3,692.14	$3,802.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,430.56	Professional		$3,692.14	$3,692.14	$4,430.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $4,393.53 / $5,662.15	Professional		$30.00	$4,393.53	$5,662.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,917.36	Professional		$3,692.14	$3,692.14	$3,917.36