Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.00 / $20.00	Professional		$12.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $73.48	Professional		$3.60	$3.60	$73.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $20.00	Facility		$11.94	$11.94	$20.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $13.73 / $22.50	Professional		$11.94	$13.73	$22.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $1,500.00	Professional		$73.48	$73.48	$1,500.00