Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.17 / $23.17	Professional		$5.00	$23.17	$23.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $88.13 / $128.00	Professional		$70.50	$88.13	$128.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $36.04	Professional		$23.17	$23.17	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00