Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $80.00	Facility		$9.63	$9.63	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.63 / $13.72	Professional		$9.44	$9.63	$13.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.01 / $17.62	Professional		$13.88	$14.01	$17.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $17.89 / $17.89	Facility		$9.63	$17.89	$17.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.72 / $26.40	Professional		$9.63	$13.72	$26.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.90	Professional		$10.00	$10.00	$13.90