Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $4,933.00 / $4,933.00	Facility		$74.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $73.13 / $74.89	Professional		$46.09	$73.13	$74.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $4,933.00 / $4,933.00	Facility		$74.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $74.89 / $74.89	Professional		$52.75	$74.89	$74.89
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 $95.20 / $119.76 / $2,570.02	Professional		$95.20	$119.76	$2,570.02