Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $50.01	Facility		$16.03	$16.03	$50.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Professional		$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.03	Professional		$16.98	$16.98	$17.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $28.05 / $50.01	Facility		$16.03	$28.05	$50.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.66 / $19.98	Professional		$16.03	$16.66	$19.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $21.26	Professional		$20.04	$20.04	$21.26