Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $31.30	Professional		$30.75	$30.75	$31.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $28.28 / $29.80	Professional		$28.28	$28.28	$29.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $30.75	Facility		$22.95	$22.95	$30.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $27.54 / $31.99	Professional		$22.95	$27.54	$31.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $30.91	Professional		$24.28	$27.44	$30.91