Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $81.95 / $109.26	Facility		$54.63	$81.95	$109.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $70.28 / $81.95	Professional		$54.63	$70.28	$81.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $101.07 / $129.06	Facility		$54.63	$101.07	$129.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $54.63 / $81.95	Professional		$44.37	$54.63	$81.95
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 $54.90 / $69.77 / $99.09	Professional		$54.90	$69.77	$99.09