Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.54 / $942.54 / $942.54	Facility		$942.54	$942.54	$942.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $942.54 / $942.54	Professional		$915.09	$942.54	$942.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.52 / $915.09 / $915.09	Professional		$534.52	$915.09	$915.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $942.54	Facility		$915.09	$915.09	$942.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,098.09	Professional		$915.09	$915.09	$1,098.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $494.94 / $750.55 / $1,174.78	Professional		$494.94	$750.55	$1,174.78
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $986.28	Professional		$915.09	$915.09	$986.28