Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $226.37 / $301.82	Facility		$150.91	$226.37	$301.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $193.89 / $226.37	Professional		$150.91	$193.89	$226.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $279.18 / $356.53	Facility		$150.91	$279.18	$356.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $150.91 / $226.37	Professional		$122.37	$150.91	$226.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $200.83 / $442.84	Professional		$168.29	$200.83	$442.84