Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $15.79 / $19.57	Professional		$13.84	$15.79	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $19.22 / $20.72	Professional		$18.02	$19.22	$20.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $15.11 / $19.87	Professional		$14.33	$15.11	$19.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $49.80 / $75.00	Professional		$33.20	$49.80	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $34.00 / $43.00	Professional		$31.00	$34.00	$43.00