Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.15 / $55.15	Facility		$55.15	$55.15	$55.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $58.60 / $58.60	Professional		$45.33	$58.60	$58.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.80 / $62.00	Facility		$55.15	$55.80	$62.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
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 $68.94 / $68.94 / $74.30	Professional		$68.94	$68.94	$74.30