Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $32.45	Facility		$10.40	$10.40	$32.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $18.20 / $32.45	Facility		$10.40	$18.20	$32.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $12.75 / $15.30	Professional		$10.40	$12.75	$15.30
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 $13.00 / $13.00 / $13.79	Professional		$13.00	$13.00	$13.79