Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $239.37	Facility		$239.37	$239.37	$239.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $239.37 / $659.93	Professional		$239.37	$239.37	$659.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $239.37	Facility		$239.37	$239.37	$239.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $239.37 / $659.93	Professional		$239.37	$239.37	$659.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00