Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $1,689.52 / $1,689.53	Professional		$400.00	$1,689.52	$1,689.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $1,689.53 / $4,933.00	Professional		$400.00	$1,689.53	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $1,386.00 / $2,029.00	Facility		$157.68	$1,386.00	$2,029.00