Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $2,944.00	Facility		$2,944.00	$2,944.00	$2,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,128.00	Professional		$2,944.00	$2,944.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $3,128.00 / $3,128.00	Professional		$572.40	$3,128.00	$3,128.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $2,944.00	Facility		$530.00	$530.00	$2,944.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $2,944.00	Professional		$530.00	$530.00	$2,944.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $715.50 / $795.00	Professional		$55.00	$715.50	$795.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,395.20	Professional		$3,200.00	$3,200.00	$3,395.20