Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96