Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Facility		$24.99	$24.99	$24.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.99 / $31.99	Professional		$21.99	$24.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $38.57 / $40.60	Professional		$36.59	$38.57	$40.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Facility		$24.99	$24.99	$24.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $24.99 / $34.65	Professional		$23.96	$24.99	$34.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $65.00	Professional		$30.00	$30.00	$65.00