Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $1,711.68 / $98,569.24	Facility		$1,630.18	$1,711.68	$98,569.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $11,668.86	Professional		$1,630.18	$1,630.18	$11,668.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $11,683.25 / $98,569.24	Facility		$1,630.18	$11,683.25	$98,569.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $1,630.18	Professional		$1,630.18	$1,630.18	$1,630.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00