Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Facility		$30.85	$30.85	$30.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $30.85 / $30.85	Professional		$8.00	$30.85	$30.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $102.75 / $128.44	Professional		$102.75	$102.75	$128.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $47.99 / $95.00	Professional		$30.85	$47.99	$95.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00