Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.15 / $3.62	Facility		$1.15	$1.15	$3.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $1.32	Professional		$1.15	$1.15	$1.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.45 / $3.62	Facility		$1.15	$1.45	$3.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.37 / $1.70	Professional		$1.15	$1.37	$1.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.17 / $0.21	Professional		$0.07	$0.17	$0.21