Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Facility		$4.45	$4.45	$4.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.45 / $5.47	Professional		$2.91	$4.45	$5.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $17.00 / $17.00	Professional		$7.16	$17.00	$17.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $5.89 / $5.89	Facility		$4.45	$5.89	$5.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.89 / $7.69	Professional		$4.45	$5.89	$7.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $100.00 / $1,500.00	Professional		$30.00	$100.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.85 / $7.34	Professional		$2.42	$3.85	$7.34