Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $14.04	Facility		$4.50	$4.50	$14.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.78	Professional		$4.49	$4.49	$4.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $7.88 / $14.04	Facility		$4.40	$7.88	$14.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.50 / $5.38	Professional		$4.40	$4.50	$5.38
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 $5.62 / $5.62 / $5.96	Professional		$5.62	$5.62	$5.96