Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Facility		$10.39	$10.39	$10.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.39 / $10.39	Professional		$10.09	$10.39	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $15.72	Professional		$10.09	$10.09	$15.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.39	Facility		$10.09	$10.09	$10.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.61	Professional		$10.09	$10.09	$12.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $15.91 / $30.00	Professional		$11.67	$15.91	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.88	Professional		$10.09	$10.09	$10.88