Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.02 / $20.02	Facility		$20.02	$20.02	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $21.27	Professional		$20.02	$20.02	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $22.52 / $25.02	Facility		$20.02	$22.52	$25.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $21.27	Professional		$20.02	$20.02	$21.27
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 $21.48 / $21.48 / $23.15	Professional		$21.48	$21.48	$23.15