Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.57 / $21.81	Professional		$16.82	$19.57	$21.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $23.86	Professional		$22.28	$22.28	$23.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.57 / $23.21	Professional		$17.37	$19.57	$23.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $49.00 / $54.00	Professional		$43.00	$49.00	$54.00