Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,478.72 / $4,478.72 / $4,478.72	Facility		$4,478.72	$4,478.72	$4,478.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.94 / $1,181.00 / $9,823.00	Professional		$626.94	$1,181.00	$9,823.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $731.88 / $838.34	Facility		$411.00	$731.88	$838.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.30 / $491.30 / $4,478.72	Facility		$491.30	$491.30	$4,478.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $491.30 / $491.30 / $2,554.42	Professional		$491.30	$491.30	$2,554.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00