Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.75 / $4,933.00 / $4,933.00	Facility		$313.75	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $313.75 / $313.75	Professional		$198.06	$313.75	$313.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.75 / $4,933.00 / $4,933.00	Facility		$313.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $313.75 / $409.54 / $511.40	Professional		$313.75	$409.54	$511.40
United Facility/Professional Professional Modifier Low / Median / High Price $386.12 / $471.02 / $636.46	Professional		$386.12	$471.02	$636.46