Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.74 / $2,056.00 / $4,933.00	Facility		$805.74	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $805.74 / $922.04	Professional		$294.39	$805.74	$922.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.96 / $2,056.00 / $4,933.00	Facility		$440.96	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $440.96 / $515.91 / $2,924.79	Professional		$440.96	$515.91	$2,924.79
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.85 / $532.67 / $786.93	Professional		$413.85	$532.67	$786.93