Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $27.42 / $27.42	Facility		$27.42	$27.42	$27.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $27.42 / $27.42	Professional		$26.62	$27.42	$27.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $27.42 / $38.40	Facility		$26.62	$27.42	$38.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $31.94	Professional		$26.62	$26.62	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.46 / $40.96	Professional		$30.00	$39.46	$40.96
United Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Facility		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $28.24	Professional		$26.62	$26.62	$28.24