Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Facility		$13.64	$13.64	$13.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $14.49	Professional		$13.64	$13.64	$14.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $21.72	Professional		$17.05	$17.05	$21.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $17.05 / $17.05	Facility		$13.64	$17.05	$17.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.05 / $20.46	Professional		$13.64	$17.05	$20.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $30.00 / $50.00	Professional		$18.75	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $18.38	Professional		$17.05	$17.05	$18.38