Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $128.32 / $128.32	Facility		$91.66	$128.32	$128.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $93.33	Professional		$91.66	$91.66	$93.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $216.55 / $216.55	Facility		$91.66	$216.55	$216.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $130.63	Professional		$91.66	$91.66	$130.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00