Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Facility		$37.76	$37.76	$37.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $40.11	Professional		$37.76	$37.76	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $42.48 / $47.20	Facility		$37.76	$42.48	$47.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $40.11	Professional		$37.76	$37.76	$40.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $42.99	Professional		$39.33	$39.33	$42.99