Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Facility		$960.00	$960.00	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,020.00	Professional		$960.00	$960.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $1,020.00 / $1,020.00	Professional		$100.84	$1,020.00	$1,020.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $106.77 / $118.63 / $960.00	Facility		$106.77	$118.63	$960.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,020.00	Professional		$960.00	$960.00	$1,020.00
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 $788.99 / $788.99 / $837.12	Professional		$788.99	$788.99	$837.12