Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $570.54 / $570.54	Professional		$553.94	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $553.94 / $553.94	Professional		$280.39	$553.94	$553.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $553.92 / $570.54	Facility		$292.50	$553.92	$570.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $553.92 / $553.92 / $664.71	Professional		$553.92	$553.92	$664.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $334.69 / $830.91	Professional		$194.83	$334.69	$830.91
United Facility/Professional Professional Modifier Low / Median / High Price $425.26 / $553.94 / $587.73	Professional		$425.26	$553.94	$587.73