Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $4.21	Facility		$1.35	$1.35	$4.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.54	Professional		$1.35	$1.35	$1.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Facility		$1.44	$1.44	$1.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $2.34	Professional		$1.44	$1.44	$2.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.69 / $4.21	Facility		$1.35	$1.69	$4.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.66 / $1.99	Professional		$1.35	$1.66	$1.99
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 $0.08 / $0.09 / $0.10	Professional		$0.08	$0.09	$0.10