Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $31.59 / $31.59	Facility		$31.59	$31.59	$31.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $31.59 / $31.59	Professional		$6.89	$31.59	$31.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $46.21 / $72.68	Professional		$3.44	$46.21	$72.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.34 / $31.59	Facility		$14.34	$14.34	$31.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.35 / $89.10	Professional		$14.34	$17.35	$89.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $17.10 / $33.78	Professional		$2.50	$17.10	$33.78