Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.25 / $13.25	Professional		$12.86	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.00	Professional		$12.86	$12.86	$16.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $19.29	Facility		$12.86	$12.86	$19.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.07	Professional		$12.86	$12.86	$16.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.78 / $22.28	Professional		$12.38	$14.78	$22.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.86	Professional		$12.86	$12.86	$13.86