Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Facility		$25.92	$25.92	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $46.18 / $89.26	Professional		$25.92	$46.18	$89.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $96.71	Professional		$88.31	$88.31	$96.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Facility		$25.92	$25.92	$25.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $34.18 / $89.26	Professional		$25.92	$34.18	$89.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $111.90 / $111.90	Professional		$55.00	$111.90	$111.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $83.00 / $97.00	Professional		$74.00	$83.00	$97.00