Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.99 / $4,112.00 / $4,933.00	Facility		$264.99	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.54 / $264.99 / $403.03	Professional		$186.54	$264.99	$403.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $399.98 / $4,112.00 / $4,933.00	Facility		$399.98	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $264.99 / $399.98 / $467.97	Professional		$264.99	$399.98	$467.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,205.00 / $2,029.00	Facility		$300.00	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.86 / $445.65 / $582.87	Professional		$322.86	$445.65	$582.87