Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Facility		$2.47	$2.47	$2.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.47 / $2.78	Professional		$1.93	$2.47	$2.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $4.76	Professional		$2.75	$2.75	$4.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.27 / $3.27	Facility		$2.47	$3.27	$3.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.27 / $4.25	Professional		$2.47	$3.27	$4.25
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 $1.34 / $2.09 / $3.99	Professional		$1.34	$2.09	$3.99