Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.91 / $734.91 / $734.91	Facility		$734.91	$734.91	$734.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $734.91 / $734.91	Professional		$713.50	$734.91	$734.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,242.08	Professional		$713.50	$713.50	$1,242.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $734.91	Facility		$713.50	$713.50	$734.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $963.22	Professional		$713.50	$713.50	$963.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $713.50 / $1,270.97	Professional		$30.00	$713.50	$1,270.97
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $769.01	Professional		$713.50	$713.50	$769.01