Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $8,126.45	Facility		$2,398.00	$2,398.00	$8,126.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,856.00	Professional		$2,398.00	$2,398.00	$4,856.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $8,126.45 / $8,126.45	Facility		$2,398.00	$8,126.45	$8,126.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $2,398.00	Professional		$2,398.00	$2,398.00	$2,398.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00