Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,304.00	Facility		$2,304.00	$2,304.00	$2,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,448.00	Professional		$2,304.00	$2,304.00	$2,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,304.00 / $2,400.00	Facility		$2,160.00	$2,304.00	$2,400.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,448.00	Professional		$2,304.00	$2,304.00	$2,448.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,586.71	Professional		$2,400.00	$2,400.00	$2,586.71