Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,094.23 / $4,933.00 / $5,757.00	Facility		$2,094.23	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.38 / $2,094.23 / $2,372.31	Professional		$1,657.38	$2,094.23	$2,372.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,094.23 / $4,933.00 / $6,906.00	Facility		$2,094.23	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,770.65 / $2,094.23 / $2,171.73	Professional		$1,770.65	$2,094.23	$2,171.73
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 $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,302.52 / $2,878.15 / $3,774.92	Professional		$2,302.52	$2,878.15	$3,774.92