Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Facility		$19.29	$19.29	$19.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.93 / $20.37	Professional		$11.66	$16.93	$20.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.04 / $36.36	Professional		$28.18	$30.04	$36.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Facility		$19.29	$19.29	$19.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $19.29 / $20.39	Professional		$12.79	$19.29	$20.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $37.00 / $45.00	Professional		$31.00	$37.00	$45.00