Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $18.75	Facility		$6.01	$6.01	$18.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $7.16	Professional		$6.01	$6.01	$7.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $10.52 / $18.75	Facility		$6.01	$10.52	$18.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.36 / $8.83	Professional		$6.01	$7.36	$8.83
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 $7.51 / $7.51 / $7.97	Professional		$7.51	$7.51	$7.97