Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $8.08	Facility		$2.59	$2.59	$8.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $7.21 / $12.00	Facility		$2.59	$7.21	$12.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $12.00 / $14.40	Professional		$2.59	$12.00	$14.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00