Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.50 / $69.22	Facility		$52.00	$52.50	$69.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $62.00	Professional		$35.00	$50.00	$62.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $69.22	Facility		$52.00	$52.00	$69.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $52.50 / $72.00	Professional		$50.00	$52.50	$72.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $9.41 / $75.00	Professional		$1.49	$9.41	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.00 / $85.00	Professional		$42.00	$55.00	$85.00