Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $101.76 / $135.68	Facility		$67.84	$101.76	$135.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $87.65 / $101.76	Professional		$67.84	$87.65	$101.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $125.50 / $160.27	Facility		$67.84	$125.50	$160.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $67.84 / $101.76	Professional		$55.16	$67.84	$101.76
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 $74.05 / $89.96 / $123.74	Professional		$74.05	$89.96	$123.74