Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Facility		$6.42	$6.42	$6.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.42 / $7.22	Professional		$4.30	$6.42	$7.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $18.73	Professional		$7.15	$7.15	$18.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $8.51 / $9.77	Facility		$6.42	$8.51	$9.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.51 / $11.06	Professional		$6.42	$8.51	$11.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $75.00 / $100.00	Professional		$14.69	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.43 / $10.30	Professional		$3.50	$5.43	$10.30