Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Facility		$12.10	$12.10	$12.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.10 / $13.61	Professional		$9.27	$12.10	$13.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $44.54	Professional		$13.47	$13.47	$44.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $16.04 / $41.99	Facility		$12.10	$16.04	$41.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $16.04 / $20.94	Professional		$12.10	$16.04	$20.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $54.42 / $55.00	Professional		$36.28	$54.42	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.46 / $19.07	Professional		$6.59	$10.46	$19.07