Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.07 / $4,797.00 / $4,933.00	Facility		$1,510.07	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.64 / $1,510.07 / $1,510.07	Professional		$953.64	$1,510.07	$1,510.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,286.68 / $4,797.00 / $4,933.00	Facility		$1,286.68	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,286.68 / $1,340.29 / $1,652.68	Professional		$1,286.68	$1,340.29	$1,652.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,945.08 / $2,544.19 / $4,283.68	Professional		$1,945.08	$2,544.19	$4,283.68