Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $19.00	Professional		$17.84	$17.84	$19.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $27.28 / $27.28	Facility		$11.34	$27.28	$27.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $27.28 / $28.78	Professional		$11.34	$27.28	$28.78
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 $22.08 / $28.99 / $45.68	Professional		$22.08	$28.99	$45.68