Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $579.07 / $579.07	Facility		$579.07	$579.07	$579.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $579.07 / $615.26	Professional		$579.07	$579.07	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $579.07 / $579.07	Facility		$579.07	$579.07	$579.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $579.07 / $615.26	Professional		$579.07	$579.07	$615.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $767.99	Professional		$723.84	$723.84	$767.99