Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.82 / $1,495.82 / $1,495.82	Facility		$1,495.82	$1,495.82	$1,495.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,495.82 / $1,495.82	Professional		$1,452.25	$1,495.82	$1,495.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,257.73	Professional		$1,452.25	$1,452.25	$2,257.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.54 / $1,452.25 / $1,495.82	Facility		$123.54	$1,452.25	$1,495.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,742.70	Professional		$1,452.25	$1,452.25	$1,742.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $2,178.37 / $2,587.56	Professional		$1,452.25	$2,178.37	$2,587.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,565.24	Professional		$1,452.25	$1,452.25	$1,565.24