Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $221.34	Professional		$184.38	$184.38	$221.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Professional		$184.38	$184.38	$184.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00