Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,961.62 / $7,961.62 / $16,918.25	Facility		$7,961.62	$7,961.62	$16,918.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,918.36 / $7,961.62 / $7,961.62	Professional		$3,918.36	$7,961.62	$7,961.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,961.62 / $7,961.62 / $16,918.25	Facility		$7,961.62	$7,961.62	$16,918.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,961.62 / $7,961.62 / $7,961.62	Professional		$7,961.62	$7,961.62	$7,961.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00