Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.05 / $20.05	Professional		$19.48	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.81	Professional		$19.48	$19.48	$24.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $20.05 / $30.00	Facility		$19.48	$20.05	$30.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.35	Professional		$19.48	$19.48	$24.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $27.27 / $30.00	Professional		$19.48	$27.27	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.00	Professional		$19.48	$19.48	$21.00