Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Facility		$14.70	$14.70	$14.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $14.70 / $24.29	Professional		$12.18	$14.70	$24.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $26.58 / $29.08	Professional		$20.01	$26.58	$29.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Facility		$14.70	$14.70	$14.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $14.70 / $24.29	Professional		$13.92	$14.70	$24.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00