Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.26 / $1,609.26 / $1,609.27	Facility		$1,609.26	$1,609.26	$1,609.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $4,000.00	Professional		$1,609.27	$1,609.27	$4,000.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,609.26 / $1,609.26 / $1,609.27	Facility		$1,609.26	$1,609.26	$1,609.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $1,609.27	Professional		$1,609.27	$1,609.27	$1,609.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00