Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,884.03 / $4,897.79	Facility		$208.93	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,288.25 / $3,981.07	Professional		$218.78	$1,288.25	$3,981.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,884.03 / $4,897.79	Facility		$208.93	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,621.81	Professional		$1,047.13	$1,174.90	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $831.76 / $1,862.09	Facility		$190.55	$831.76	$1,862.09