Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.64 / $184.64 / $576.08	Facility		$184.64	$184.64	$576.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $184.64 / $184.64	Professional		$113.69	$184.64	$184.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.64 / $195.01 / $436.21	Facility		$184.64	$195.01	$436.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $195.01 / $243.52	Professional		$184.64	$195.01	$243.52
United Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $207.53 / $264.12	Professional		$172.67	$207.53	$264.12