Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $4,933.00 / $4,933.00	Facility		$317.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $317.70 / $317.70	Professional		$200.68	$317.70	$317.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $4,933.00 / $4,933.00	Facility		$317.70	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $349.36 / $444.33	Professional		$317.70	$349.36	$444.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.35 / $419.33 / $558.96	Professional		$349.35	$419.33	$558.96