Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $51.73	Facility		$16.57	$16.57	$51.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $29.02 / $51.73	Facility		$16.57	$29.02	$51.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.93 / $20.64	Professional		$16.57	$16.93	$20.64
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 $20.72 / $20.72 / $21.98	Professional		$20.72	$20.72	$21.98