Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $8.89 / $161.66	Facility		$8.89	$8.89	$161.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.89 / $10.00	Professional		$6.81	$8.89	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $17.14	Professional		$9.90	$9.90	$17.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $11.79 / $13.55	Facility		$8.89	$11.79	$13.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.79 / $15.32	Professional		$8.89	$11.79	$15.32
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 $4.84 / $7.79 / $13.96	Professional		$4.84	$7.79	$13.96