Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,041.74 / $4,897.79	Facility		$912.01	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,454.71 / $4,073.80	Professional		$524.81	$2,454.71	$4,073.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,041.74 / $4,897.79	Facility		$407.38	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $512.86	Professional		$323.59	$380.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $6,309.57	Facility		$1,513.56	$3,235.94	$6,309.57