Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $3,864.00	Facility		$3,864.00	$3,864.00	$3,864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $4,105.50	Professional		$3,864.00	$3,864.00	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,205.44 / $4,105.50 / $4,105.50	Professional		$3,205.44	$4,105.50	$4,105.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,205.00 / $2,968.00 / $3,864.00	Facility		$1,205.00	$2,968.00	$3,864.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $3,960.60	Professional		$2,968.00	$2,968.00	$3,960.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $4,006.80 / $4,452.00	Professional		$55.00	$4,006.80	$4,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,040.00	Professional		$4,200.00	$4,200.00	$5,040.00