Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $28.38 / $88.55	Facility		$28.38	$28.38	$88.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $28.38 / $28.38	Professional		$28.38	$28.38	$28.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.16	Professional		$30.08	$30.08	$30.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $49.67 / $88.55	Facility		$28.38	$49.67	$88.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $29.49 / $35.38	Professional		$28.38	$29.49	$35.38
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 $30.08 / $30.08 / $31.91	Professional		$30.08	$30.08	$31.91