Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $2,056.00 / $4,933.00	Facility		$166.40	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $166.40 / $173.43	Professional		$112.48	$166.40	$173.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.21 / $2,056.00 / $4,933.00	Facility		$197.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $197.21 / $230.73	Professional		$166.40	$197.21	$230.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $214.32 / $277.88	Professional		$174.62	$214.32	$277.88