Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $3.34	Facility		$1.07	$1.07	$3.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.26	Professional		$1.13	$1.13	$1.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.87 / $3.34	Facility		$1.07	$1.87	$3.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.12 / $1.34	Professional		$1.07	$1.12	$1.34
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 $1.14 / $1.14 / $1.17	Professional		$1.14	$1.14	$1.17