Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.17 / $4,933.00 / $5,757.00	Facility		$2,163.17	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.18 / $2,163.17 / $2,466.51	Professional		$1,712.18	$2,163.17	$2,466.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,163.17 / $4,933.00 / $6,906.00	Facility		$2,163.17	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,829.20 / $2,163.17 / $2,466.51	Professional		$1,829.20	$2,163.17	$2,466.51
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 $2,324.94 / $2,892.16 / $3,976.71	Professional		$2,324.94	$2,892.16	$3,976.71