Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.33 / $878.00 / $6,906.00	Facility		$256.33	$878.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $256.33 / $269.47	Professional		$173.26	$256.33	$269.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.33 / $4,933.00 / $6,907.00	Facility		$256.33	$4,933.00	$6,907.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $256.33 / $275.54	Professional		$250.68	$256.33	$275.54
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 / $4,566.00 / $6,740.00	Facility		$850.00	$4,566.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $347.68 / $445.63	Professional		$285.98	$347.68	$445.63