Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $399.50 / $399.50	Facility		$399.50	$399.50	$399.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $399.50 / $424.47	Professional		$399.50	$399.50	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $246.94 / $274.38 / $399.50	Facility		$246.94	$274.38	$399.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $399.50 / $424.47	Professional		$399.50	$399.50	$424.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $100.00	Professional		$30.00	$55.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $529.88	Professional		$499.42	$499.42	$529.88