Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $201.77	Facility		$64.67	$64.67	$201.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Professional		$64.67	$64.67	$64.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $68.70	Professional		$68.70	$68.70	$68.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $113.17 / $201.77	Facility		$64.67	$113.17	$201.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $70.01 / $84.01	Professional		$64.67	$70.01	$84.01
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 $80.84 / $80.84 / $85.77	Professional		$80.84	$80.84	$85.77