Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $19.50	Facility		$6.25	$6.25	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $7.12	Professional		$6.25	$6.25	$7.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $6.79 / $6.79	Professional		$6.79	$6.79	$6.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $4.82 / $4.82	Professional		$0.47	$4.82	$4.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $7.81 / $19.50	Facility		$5.56	$7.81	$19.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.25 / $6.67	Professional		$5.56	$6.25	$6.67
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 $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02