Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $5.18	Facility		$1.66	$1.66	$5.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.76	Professional		$1.66	$1.66	$1.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $2.17	Professional		$0.75	$0.94	$2.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.08 / $5.18	Facility		$1.66	$2.08	$5.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.02 / $2.42	Professional		$1.66	$2.02	$2.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $30.00 / $1,500.00	Professional		$1.55	$30.00	$1,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $1.67 / $3.92	Facility		$0.04	$1.67	$3.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.17 / $4.42	Professional		$3.20	$4.17	$4.42