Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Facility		$8.64	$8.64	$8.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.12 / $9.46	Professional		$5.36	$7.12	$9.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.16 / $13.15	Professional		$9.49	$11.16	$13.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $22.00	Professional		$7.45	$7.45	$22.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $11.46 / $11.46	Facility		$8.64	$11.46	$11.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.46 / $14.32	Professional		$5.50	$11.46	$14.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $7.13 / $13.45	Professional		$4.71	$7.13	$13.45