Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.46 / $766.64	Facility		$3.46	$3.46	$766.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $316.22	Professional		$3.46	$3.46	$316.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.52 / $766.64	Facility		$3.46	$3.52	$766.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $379.06	Professional		$3.46	$3.46	$379.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00