Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $92.44 / $92.44	Facility		$92.44	$92.44	$92.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $92.44 / $92.44	Professional		$89.75	$92.44	$92.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $89.75 / $92.92	Professional		$77.55	$89.75	$92.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $92.44	Facility		$89.75	$89.75	$92.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $107.70	Professional		$89.75	$89.75	$107.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $90.65 / $129.27	Professional		$71.81	$90.65	$129.27
United Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $96.73	Professional		$89.75	$89.75	$96.73