Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,959.70 / $1,959.70 / $1,959.70	Facility		$1,959.70	$1,959.70	$1,959.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,959.70 / $1,959.70	Professional		$1,902.62	$1,959.70	$1,959.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,537.92	Professional		$1,902.62	$1,902.62	$2,537.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.15 / $1,902.62 / $1,959.70	Facility		$162.15	$1,902.62	$1,959.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,385.00	Professional		$1,902.62	$1,902.62	$2,385.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,853.93 / $3,524.88	Professional		$1,902.62	$2,853.93	$3,524.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,050.64	Professional		$1,902.62	$1,902.62	$2,050.64