Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $429.48 / $429.48	Facility		$429.48	$429.48	$429.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.33 / $429.48 / $449.60	Professional		$410.33	$429.48	$449.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $429.48 / $429.48	Facility		$429.48	$429.48	$429.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $410.33 / $429.48 / $441.16	Professional		$410.33	$429.48	$441.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00