Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $442.64	Professional		$14.82	$14.82	$442.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $105.00	Professional		$14.82	$14.82	$105.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00