Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $14.63	Facility		$4.69	$4.69	$14.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.98	Professional		$4.68	$4.68	$4.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $8.21 / $14.63	Facility		$4.59	$8.21	$14.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.69 / $5.61	Professional		$4.59	$4.69	$5.61
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 $5.86 / $5.86 / $7.03	Professional		$5.86	$5.86	$7.03