Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $216.80	Professional		$45.76	$45.76	$216.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $48.17	Professional		$45.76	$45.76	$48.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00