Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $10.05	Facility		$3.22	$3.22	$10.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.33	Professional		$3.22	$3.22	$3.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.43 / $3.43	Professional		$2.61	$3.43	$3.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.03 / $8.96	Facility		$3.22	$4.03	$8.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.46 / $4.15	Professional		$3.22	$3.46	$4.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $30.00	Professional		$5.34	$5.34	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.56	Professional		$3.36	$3.36	$3.56